| NPI | 1275018566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A OJO CEO 702-210-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |