| NPI | 1457976813 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARCUS MCALISTER Owner 775-686-0551 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 
| Enumeration Date | 2020-06-11 | 
| Last Update Date | 2020-06-11 |