| NPI | 1699390427 |
|---|---|
| Doing Business As | GRAND DESERT TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW OKEKE Medical Director 775-622-6974 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |