| NPI | 1093411795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMON SCOTT CEO 702-741-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |