| NPI | 1992167662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY M. WILSON Owner/Therapist 702-508-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20161096486) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |