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 |