| NPI | 1780052365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HODGES Owner/Operator 775-688-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV NV20151493769) |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |