| NPI | 1376990945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONEY W STEPHENSON President/Secretary 702-204-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: NV MI0717) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |