| NPI | 1477035970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL JOBIN Owner 702-215-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0174) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00417-LC) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |