| NPI | 1497454243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJA FITZGERALD CEO 702-714-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 174400000X Specialist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |