| NPI | 1396405536 |
|---|---|
| Doing Business As | ENVIGOR MEDICAL AND BEHAVIORAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA TESSIE BEDUYA-PRINCER CEO 702-902-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |