| NPI | 1669914578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHILDERS Manager 775-685-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |