| NPI | 1518443332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GAMBOA CEO 702-488-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2023-03-21 |