| NPI | 1740042365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BROWN CFO 702-405-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |