| NPI | 1831799915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MCDONAGH Owner 702-483-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |