| NPI | 1013710854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J DURBIN II Manager 702-883-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |