| NPI | 1063978187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY QUINN Owner 702-685-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-06-10 |