| NPI | 1558198242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KHUDAVERDYAN Owner 702-900-8341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |