| NPI | 1366332744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARA Deputy Director 775-350-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |