| NPI | 1508185539 |
|---|---|
| Former Legal Business Name | LYON COUNCIL ON ALCOHOL AND OTHER DRUGS |
| Entity Type | Organization |
| Authorized Contact | RONALD PHILIP GENTILE Billing Specialist 775-463-6597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2022-05-20 |