NPI | 1679225403 |
---|---|
Entity Type | Organization |
Authorized Contact | LONNIE J PHILLIPS-JACKSON Owner 775-354-3675 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-01-23 |
Last Update Date | 2022-01-23 |