| NPI | 1174772602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM O CRANDELL CEO 702-898-2689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |