NPI | 1881351179 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIE ANN LUBACK-NEVES Owner 775-338-7687 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-11-21 |
Last Update Date | 2021-11-21 |