| NPI | 1033419684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY TIPPETTS Director 702-376-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 225400000X Rehabilitation Practitioner | |
| 251B00000X Case Management | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2021-01-19 |