| NPI | 1184162034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MORSS Vice President 702-385-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |