| NPI | 1558149419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBROSIA LEE CRUMP Owner 702-581-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |