| NPI | 1417330861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIVA S HUTTON Therapist 702-509-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 5446-C) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-07 |