| NPI | 1649090804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN SMITH President 775-300-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-22 |