| NPI | 1346949831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOILA HENSON Member 775-250-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-04-09 |