| NPI | 1952646028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEEYMMY PATRICIA GIRON Owner 775-378-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV2012159935) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2022-11-16 |