| NPI | 1386784015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER DIMITROFF Owner Director 775-356-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |