| NPI | 1386396687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATANA HARRIS-COBB Owner 702-635-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2023-10-26 |