| NPI | 1972284727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN YOUNG Director 702-790-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 251B00000X Case Management | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |