| NPI | 1184429201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESSENCE BOLDEN Owenr/Manager 702-205-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |