| NPI | 1154607729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL HENDERSON Owner 702-823-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV NV20131070050) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV NV20101147210) |
| 1041C0700X Social Worker, Clinical (Licence: NV 4556-C) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2016-08-30 |