NPI | 1356047666 |
---|---|
Doing Business As | BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | TARA VAN ORDEN Chief Dental Officer 775-329-5162 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-02-07 |
Last Update Date | 2023-02-07 |