| NPI | 1659676492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ALEXANDER Manager 775-762-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: AL 27273) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1408) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2013-07-08 |