| NPI | 1790036309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHIAS X CONE Chief Operating Officer 1866-832-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20101103448) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |