| NPI | 1508374885 |
|---|---|
| Doing Business As | HEALING ROOTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | KAYCEE ISRAEL Manager 702-956-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-08-20 |