| NPI | 1306443171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE HENSON Manager 775-685-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QP2300X Clinic/Center, Primary Care | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-09 |