| NPI | 1548561087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LAXALT Therapist 775-240-9069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 2039-C) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2011-06-13 |