| NPI | 1659701589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND SPARKS Owner 702-324-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2018-10-30 |