NPI | 1689142945 |
---|---|
Entity Type | Organization |
Authorized Contact | MORGAN RODRIGUEZ Manager 702-945-8846 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103K00000X Behavior Analyst | |
103T00000X Psychologist | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2018-11-05 |
Last Update Date | 2019-11-06 |