| NPI | 1407219611 |
|---|---|
| Doing Business As | HUNTRIDGE TEEN CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROXANA VALETON CEO 702-380-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health |
| 101Y00000X Counselor | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 207Q00000X Family Medicine | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2017-09-07 |