| NPI | 1740520709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA KENDRID Co Owner 702-327-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |