| 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 |