| NPI | 1669627543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAM DAVIS Owner 1775-575-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 4835-C) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |