| NPI | 1548494644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHNSON President /Director 702-883-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TR0400X Psychologist Rehabilitation | |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |