| NPI | 1437930864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC MUTABAZI Director 702-849-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |