NPI | 1174874739 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLE P HENDERSON Mft Intern 702-278-3622 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV MI0366) |
Enumeration Date | 2012-09-24 |
Last Update Date | 2012-09-24 |