| NPI | 1811748080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LEE ARNOLD Clinical Supervisor 702-884-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |