| NPI | 1760840169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORISSA BRUNSON Clinical Professional Counselor 702-524-4639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV CP0092) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |