| NPI | 1881122703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E GRIFFIN Owner 702-613-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-11-21 |