| NPI | 1407202526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA J ROSS Psychologist 775-219-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NV PY0632) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2016-05-07 |