| NPI | 1366812729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELL OLIVIA DIX Program Director 775-386-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV nv20151459312) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |