| NPI | 1104712868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK CHAMBERLAIN Owner 702-234-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |