| NPI | 1881804870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH R REYNOLDS Qba 775-786-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |