| NPI | 1285185280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GILBERT General Manager 702-570-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |