| NPI | 1629601026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI MOSLEY Treasurer 702-551-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |