| NPI | 1093131948 |
|---|---|
| Doing Business As | GREAT BASIN BEHAVIORAL HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RUDOLPH VON RAVENSBERG Psychotherapist/Owner 775-232-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 1098) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |