| NPI | 1821398108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY KAYE WIEBERG Counselor 775-848-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NV CPoo21) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 1089-L) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |