| NPI | 1417738170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN KELLY Owner 702-473-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-01-26 |