| NPI | 1962178178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA R SCOTT Managing Director 702-954-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 164W00000X Licensed Practical Nurse | |
| 172V00000X Community Health Worker | |
| 174200000X | |
| 174H00000X Health Educator | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 251T00000X PACE Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |