| NPI | 1770127359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY E. ALEXANDER Managing Business Director 775-392-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |