| NPI | 1154606978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET RAE BYCINA Managaing Member 702-505-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |