| NPI | 1588950067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA L RICKARD Director 775-826-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |