| NPI | 1386271740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIKA Q. F. MAYES Owner/CEO 702-861-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 225400000X Rehabilitation Practitioner | |
| 251S00000X Community/Behavioral Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2023-11-09 |