| NPI | 1629319918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PUCCI Clinical Director 702-278-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6050-C) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |