NPI | 1033908413 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY JACKSON Managing Member 702-268-9977 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251S00000X Community/Behavioral Health | |
261QC1500X Clinic/Center, Community Health | |
261QC1800X Clinic/Center, Corporate Health | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
251V00000X Voluntary or Charitable | |
261Q00000X Clinic/Center | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QR0400X Clinic/Center, Rehabilitation | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2025-05-02 |
Last Update Date | 2025-05-02 |