| NPI | 1669962759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WOOD CEO/Owner 725-777-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 20181322926) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |