| NPI | 1023253267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA JANELL TORRES Billing Manger 775-882-3945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 0900002345) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 0900002345) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2023-12-08 |