| NPI | 1962109868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH MOHAMED Licensed Clinical Social Worker 702-483-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-11 |