| NPI | 1205141025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA THERESA VACCARO Owner 702-845-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV 01013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV 01013) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist (Licence: NV 01013) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2015-06-05 |