| NPI | 1366289571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA AWANA CEO 702-335-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |