| NPI | 1275988107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS PAULO SE Payment Posting Lead 702-291-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 13792) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2025-09-29 |