| NPI | 1780527465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JOHNSON Owner 775-378-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-04-09 |