| NPI | 1568836880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MURPHY Contracting / Credentialing Special 775-682-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |