| NPI | 1104121292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY D SNOWDEN Program Director 702-649-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-09-21 |