NPI | 1063053882 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN CHRISTOPHER SIMMONS Managing Member 702-849-9185 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2019-10-02 |
Last Update Date | 2019-12-23 |