| NPI | 1801237698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUENTA KIRBY President 702-682-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 103TR0400X Psychologist, Rehabilitation | |
| 1041C0700X Social Worker, Clinical | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2018-04-25 |