| NPI | 1598267833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LUBOSKI Sole Owner 775-525-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA py00002432) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2022-11-08 |