| NPI | 1194592097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASTAZIA A GUY CEO 702-809-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |