NPI | 1629729116 |
---|---|
Entity Type | Organization |
Authorized Contact | BLADIMIK JARA Owner 775-813-9703 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-01-16 |
Last Update Date | 2022-01-16 |