| NPI | 1427890292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROSS- COPES Owner 702-208-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-12-18 |