| NPI | 1376745067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MITCHELL Billing Manager 702-448-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NV PY0405) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-08-29 |