| NPI | 1407421340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROUSE Owner 702-461-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-25 |