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