| NPI | 1508046699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV GF-467290) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NV GF-467290) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NV GF-467290) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: NV GF-467290) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NV GF-467290) | |
| 385H00000X Respite Care (Licence: NV GF-467290) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |