| NPI | 1598506669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADEN HINES Administrator 702-305-0652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |