| NPI | 1659666170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS TELLIS President 702-639-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2016-08-29 |