| NPI | 1558054775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA LEVINE Director 702-660-5943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-09-13 |