| NPI | 1417672882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINE HERNANDEZ CEO 702-476-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2023-12-06 |