| 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 | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-02 |