| NPI | 1821552449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESS PASCUAL Owner 702-488-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-02-11 |