| NPI | 1194217596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE KILMER Manager 702-670-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |