| NPI | 1588011043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PHILLIP LINARES CEO 775-815-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: HI 338) |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2016-05-15 |