| NPI | 1376189076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADWANA RETIC Owner 702-499-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-02-26 |