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 |