| NPI | 1457806663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ETZELL Executive Director 702-642-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-06-27 |