| NPI | 1407290067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA-SHANDIA DANELL BINION Manager 702-813-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NV NV20131247167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV NV20131247167) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NV NV20131247167) | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-12-17 |