| NPI | 1215212501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAM DAVIS Owner 775-575-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 4835-C) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |