NPI | 1972272896 |
---|---|
Entity Type | Organization |
Authorized Contact | ULLA YANDELL Managing Member 775-560-9623 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2021-09-13 |
Last Update Date | 2021-09-13 |