| NPI | 1508279746 |
|---|---|
| Doing Business As | GREAT BASIN BEHAVIORAL HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RUDOLPH VON RAVENSBERG Owner/Psychotherapist 775-453-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV MFT 1098) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2015-12-06 |