| NPI | 1235516782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREY RAY Billing Manager 702-685-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NV 14597) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |