| NPI | 1235406463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC RICCIARDI President 702-363-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV 11899) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |