| NPI | 1427520873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE NAKADILOK HUI Program Development Manager 702-575-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2019-04-10 |