| NPI | 1497328207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ENGELBERT Qa And Compliance Director 775-384-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |