| NPI | 1083492433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MARIA CHAVEZ Medical Biller 775-328-2220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |