| NPI | 1386152577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOWE Counselor 702-930-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |