| NPI | 1740796887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAROL MYERS Owner 775-379-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |