| NPI | 1972182616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MICHELLE HALL Owner 702-483-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 172V00000X Community Health Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-08-08 |