| NPI | 1831411149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD LEE CROSS Managing Member 702-480-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 1117) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 125-LC) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2011-01-20 |