| NPI | 1194959262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DREW Team Leader 775-323-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV LCSW-4536-C) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA LCSW-13608) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |