| NPI | 1255676011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HARDENBROOK Owner 702-370-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 00202-S) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |