| NPI | 1861765042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART VANDAMME Director 775-323-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |