| NPI | 1881351179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANN LUBACK-NEVES Owner 775-338-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2021-11-21 |