| NPI | 1861548612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA GASTON SHORE Clinician/Owner/President 530-905-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 0901) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00847-L) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-06-20 |