| NPI | 1912419219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MARIE WILLIAMS Office Manager 702-527-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV 01255) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |