| NPI | 1134671902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF BROWN Administrator 702-686-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2020-08-17 |