| NPI | 1699250332 |
|---|---|
| Other Name | CYS RITE OF PASSAGE PARAGON |
| Entity Type | Organization |
| Authorized Contact | RUSTY E. ALEXANDER Business Managing Director 775-392-2639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2021-08-05 |