| NPI | 1912377482 |
|---|---|
| Former Legal Business Name | BLACK-BELT PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | EARNEST HOWARD-RUDOLPH BLACKSHEAR CEO & Primary Consultant 702-941-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2022-04-13 |