| NPI | 1518317759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA THOMPSON Owner 702-444-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV PY0739) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY0739) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-10-15 |