| NPI | 1114414109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HASS Owner 702-757-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV NV20171279356) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-08-18 |