NPI | 1457911737 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTAL WILSON Owner 775-870-5257 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-06-18 |
Last Update Date | 2019-06-18 |