| NPI | 1942595210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL CHRISTINA GRIMES Theraputic Foster Parent 775-852-8335 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV FF-125404617) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: NV GF880321776-0316) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |