| NPI | 1235674425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB VAVLA CEO 702-461-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 111N00000X Chiropractor | |
| 111NN0400X Chiropractor Neurology | |
| 111NP0017X Chiropractor Pediatric Chiropractor | |
| 111NR0400X Chiropractor Rehabilitation | |
| 111NX0100X Chiropractor Occupational Health | |
| 111NX0800X Chiropractor Orthopedic | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2017-06-20 |