| NPI | 1093368409 |
|---|---|
| Other Name | MMG PSYCH AT GOODSAM |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SCHNEIDER VP 702-558-1403 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |