| NPI | 1235922295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI VERNETTE BASS Director 702-591-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |