| NPI | 1588286330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATERITH YANNETH HURTADO MARTINEZ Owner 775-203-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |