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 | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-10-17 |
Last Update Date | 2025-03-13 |