| NPI | 1912367889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ASHCRAFT Administrative Services Officer Iii 775-687-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2021-02-03 |