| 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 |