NPI | 1992389530 |
---|---|
Doing Business As | BOULDER BEHAVIORAL HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | AADEE MIZRACHI Owner/Licensed Psychologist 702-372-6910 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-05-10 |
Last Update Date | 2023-03-08 |