| NPI | 1356840631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE K RIFE Manager 775-722-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV NV20171758514) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-23 |