| NPI | 1215544317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN LEE Director 702-945-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |