| NPI | 1851945505 |
|---|---|
| Doing Business As | BOYS TOWN NEVADA INC |
| Entity Type | Organization |
| Authorized Contact | STACIA J SHEARMAN Credentialing Specialist 531-355-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-03-13 |