| NPI | 1649902859 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RYAN GREENWOOD Owner, Therapist 702-381-2192  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health | 
| Enumeration Date | 2022-06-27 | 
| Last Update Date | 2024-10-09 |