NPI | 1871281469 |
---|---|
Entity Type | Organization |
Authorized Contact | PAIGE KELLY Owner 702-493-5998 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106S00000X Behavior Technician | |
Enumeration Date | 2023-05-01 |
Last Update Date | 2024-08-01 |