| NPI | 1891212395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCH M SPALKA Owner 775-250-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |