NPI | 1225887375 |
---|---|
Doing Business As | PSYCHIATRY CLINIC |
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 |