| NPI | 1700433653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE YOUNG CEO 702-587-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-06-30 |