| NPI | 1619343845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER TARLTON Clinical Director/Owner 702-816-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI0149) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01564-L) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |