NPI | 1750678108 |
---|---|
Former Legal Business Name | BEHAVIORAL SERVICES LTD |
Entity Type | Organization |
Authorized Contact | JERRY W CLARK Owner 775-772-0392 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 00004-C) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2011-07-13 |