NPI | 1003633603 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCHESCA VAN BUREN Chief Administrative Officer 702-685-0877 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
207P00000X Emergency Medicine | |
103TC1900X Psychologist, Counseling | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2024-09-24 |
Last Update Date | 2025-07-07 |