| NPI | 1952689861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MATTHEW MARLON President 702-228-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |