| NPI | 1417750266 |
|---|---|
| Doing Business As | CCC |
| Entity Type | Organization |
| Authorized Contact | DENICIA POWELL Owner 702-723-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-06-20 |