| NPI | 1760993117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BROWN Business Manager 702-405-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| 251C00000X | |
| 261QM0801X | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-01-03 |