| NPI | 1609246347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE SAM Social Worker 702-353-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1483, 1611) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2016-02-09 |