NPI | 1144108994 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN HENRY O'DONNELL Executive Director 702-461-9649 |
Organization Subpart ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2025-08-21 |
Last Update Date | 2025-09-07 |