NPI | 1366075707 |
---|---|
Doing Business As | MEADOWLARK |
Entity Type | Organization |
Authorized Contact | RUSTY E. ALEXANDER Business Managing Director 775-392-2639 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-02-13 |
Last Update Date | 2020-02-13 |