| NPI | 1851733042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY JEAN HOLBROOK Senior Director 702-241-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NV NV20131448851) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2021-04-06 |