| NPI | 1588289102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MAYVILLE Owner 775-560-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-07-27 |