| NPI | 1053161257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NAYLOR KENAN Owner 702-270-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-05-09 |