TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER NPI 1912268467

NPI Information

TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER is an adolescent and children mental health clinic center in Las Vegas, NV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. TOWER BRIDGE DEVELOPMENTAL HEALTH CENTER NPI is 1912268467. The provider is registered as an organization entity type.

The provider's business location address is:

9484 S EASTERN AVE
SUITE 67
LAS VEGAS, NV
ZIP 89123-987
Phone: (702) 513-8321

The provider's authorized official is Shana Wickersham .
The authorized official title is Owner and has the following contact phone number (702) 513-8321.

The enumeration date for this NPI number is 5/31/2012 and was last updated on 5/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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