| NPI | 1205407178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AMATO VON HEMERT Managing Menber 702-835-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106S00000X Behavior Technician | |
| 1041C0700X Social Worker Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |