| NPI | 1568195964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY KUHN Manager 702-550-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-07-24 |