| NPI | 1053804161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG DUERSON Managing Partner 702-820-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-08-07 |