| NPI | 1518473032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREY RAY Billing Manager 702-268-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 6823C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |