| NPI | 1598373870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS R POLLARD CEO 702-324-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |