| NPI | 1912144205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WATERS Director 702-497-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 00357-C) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 0127) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |