| NPI | 1215861497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONA P SCOTT Manager 702-689-8658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-12 |