| NPI | 1740166420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDYCE MORRIS CEO 702-728-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225X00000X Occupational Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 111N00000X Chiropractor | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-09-22 |