| NPI | 1972112944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNTINA ANNE AMBIS Owner/Employee 702-328-1986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-09-16 |