| NPI | 1457110215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA FURR Board Member 702-268-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251B00000X Case Management | |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |