| NPI | 1023490851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY HOLBROOK Owner 702-823-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2021-08-02 |