| NPI | 1972019560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE RANDALL Owner/Lcsw 702-726-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 7074-C) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-01-10 |