| NPI | 1457741563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENA M.W. DAVIS Owner/Clinical Social Worker 702-980-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NV 6042-C) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NV 6042-C) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-09-16 |