| NPI | 1679070254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA OWENS Owner 775-379-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-08-30 |