| NPI | 1467802363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GALLEGO Owner/Managing Partner 702-812-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |