NPI | 1386081263 |
---|---|
Doing Business As | VITALITY INTEGRATED PROGRAMS RENO |
Entity Type | Organization |
Authorized Contact | DOROTHY J DEXTER Chief Financial Officer 177-573-8415 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NV OUTPATIENT - SAPTA) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2021-10-26 |