| NPI | 1114605284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ROCHA Owner 702-907-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |