| NPI | 1326342114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY PECK KANE Director 702-430-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2012-12-27 |