| NPI | 1053828335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA M RANGER Owner 484-483-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NV PY0803) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |