| NPI | 1083239925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JEIDER Medical Director 702-246-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2022-03-17 |