| NPI | 1114773892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI E CARPLUK CEO 702-805-5635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-06-03 |