| NPI | 1063015949 |
|---|---|
| Doing Business As | INTENTIONAL LIVING ACADEMY |
| Entity Type | Organization |
| Authorized Contact | KASIA CALDWELL CEO 702-620-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-07-27 |