| NPI | 1134813991 |
|---|---|
| Doing Business As | FUENTE DE VIDA |
| Entity Type | Organization |
| Authorized Contact | PERLA SANCHEZ COO 702-572-6379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 225400000X Rehabilitation Practitioner | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |