| NPI | 1912207994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON EVENS BOMER Owner 702-639-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5642-C) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2019-03-01 |