| NPI | 1316273832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS LAWERENCE NEUBAUER Clinical Social Worker 702-806-5268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 5608-C) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2015-07-09 |