| NPI | 1750030185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILUS AKOH Owner 775-335-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-12-13 |