| NPI | 1720720550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KING Co Owner 702-888-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-06-13 |