| NPI | 1639718216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRYLYN MERCER Accountant Tech I 775-687-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |