| NPI | 1700614336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA WEIFORD Owner 702-395-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-09-19 |