| NPI | 1487169579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE DIANE DOTSON Owner 775-223-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |