| NPI | 1598415838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVAR PORTER Chief Operator/Owner 702-337-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-06-03 |