| NPI | 1518695311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA HAMILTON Cpc 775-899-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-16 |