| NPI | 1760022214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CONWAY Management Analyst Ii 775-688-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |