| 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 |