| NPI | 1225677487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ALCID CEO 702-827-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |