| NPI | 1235974700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM ZAND Owner 702-919-1508 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2025-01-20 |