| NPI | 1659749786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS MONTAVON Therapist 702-917-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV LCSW 7031-C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV LADC 01322-L) |
| Enumeration Date | 2015-09-06 |
| Last Update Date | 2015-09-06 |