NPI | 1033902960 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIAN CORTEZ Lead Credentialing Specialist 702-473-9841 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2025-05-23 |
Last Update Date | 2025-07-23 |