| NPI | 1295204857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROSS Director 702-564-1899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |