NPI | 1639489149 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA SUE MCMANIGELL Therapist 702-496-6054 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV CP0028) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2010-10-18 |