| NPI | 1033347745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY TIPPETTS Owner/Manager 702-375-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-02 |