| NPI | 1205345048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN D'AMBROSIO Clinical Director 702-665-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-04-17 |