| NPI | 1972112373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAGNE ARIELLE DUAVE Managing Member 702-588-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2021-06-09 |