| NPI | 1225887375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JEIDER Vice President 702-440-8430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-24 |