| NPI | 1972221885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEGRITA MAPLES Manager 702-790-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-10-05 |