NPI | 1164148565 |
---|---|
Doing Business As | MODERN PSYCHIATRY LAS VEGAS |
Entity Type | Organization |
Authorized Contact | BENSON WACHIRA WANJOHI Owner 785-408-9274 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2022-10-17 |
Last Update Date | 2022-10-17 |