| NPI | 1609212182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARITA EDWARDS President 702-540-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20131272872) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV NV20131272872) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV NV20131272872) | |
| 101Y00000X Counselor (Licence: NV NV20131272872) | |
| 104100000X Social Worker (Licence: NV NV20131272872) | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-08-08 |