| NPI | 1871087908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN LEE Director 702-218-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 103T00000X Psychologist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |