| NPI | 1457875171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCNEELY Business Manager 775-392-2618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-12-05 |