| NPI | 1659123958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE INOA Owner 702-937-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |