NPI | 1689065203 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD DALE LOFTIS Sole Proprietor 775-843-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 0592) |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-02-18 |