| NPI | 1285115196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN ANN BAKER Office Manager 775-825-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 7900-C) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |