| NPI | 1922862226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILEANA ROQUE Director/Owner 702-208-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-04-10 |