| NPI | 1821388109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS PONZO President 702-248-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 01258C) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |