| NPI | 1518206408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE TILLMAN Compliance Officer 775-322-8941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2018-07-05 |