| NPI | 1952992224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY E. ALEXANDER Director 775-392-2639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2025-08-27 |