| NPI | 1669956223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY E. ALEXANDER Business Managing Director 775-392-2639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2023-08-22 |