| NPI | 1194159004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOODROW ANTHONY ROEBACK Owner 702-917-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CI0077) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2021-03-17 |