| NPI | 1003553678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO WENCE-MUNOZ Clinical Director/Owner 702-292-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |