| NPI | 1669405601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP LEONARD RICCOBONO President 702-515-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 01246C) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-04-15 |