NPI | 1114971702 |
---|---|
Doing Business As | NEVADA HABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2006-05-19 |
Last Update Date | 2020-08-26 |