| NPI | 1346762622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA STIRTON Owner 775-671-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2020-01-05 |