| NPI | 1952870297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA MARY CAMBEROS Manager 775-686-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |