| NPI | 1245964816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE PARKER Administrator 702-893-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-10-31 |