| NPI | 1013239573 |
|---|---|
| Doing Business As | NEW ANTIOCH SUPPORT SERVICE CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMARA M WHITE Executive Director 702-236-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MF01099) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |