| NPI | 1013675891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEIKEL DAVIS OBRET Managing Member 702-538-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |