NPI | 1215580881 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY QUANRUD GRIMSLEY Owner 775-842-5669 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-07-22 |
Last Update Date | 2019-12-22 |