| NPI | 1780310839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENA LOUISE ANDERSON Owner/Director 775-379-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |