| NPI | 1063015949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIA CALDWELL Owner 702-751-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2021-05-11 |