NPI | 1669910394 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE DE LA CRUZ Owner 775-354-5567 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2017-02-01 |
Last Update Date | 2017-02-01 |