| NPI | 1851272512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS RUBEN CISNEROS Owner 702-482-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |