NPI | 1285431007 |
---|---|
Former Legal Business Name | TENAXCITY |
Former Legal Business Name | TENAZCITY |
Entity Type | Organization |
Authorized Contact | LESLIE WESTFIELD BAXTER Director 702-373-1265 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2025-02-28 |
Last Update Date | 2025-02-28 |