| NPI | 1336534361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB RICHARD WISKERCHEN Owner 775-525-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2025-03-25 |