| NPI | 1902381361 |
|---|---|
| Other Name | CYS RITE OF PASSAGE MARBELLA |
| Entity Type | Organization |
| Authorized Contact | RUSTY E. ALEXANDER Managing Business Director 775-392-2639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2019-02-01 |