| NPI | 1801201918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CAROLINE STRAHLER L Icensed Mft Intern 702-379-8541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NV M10166) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |