| NPI | 1295368041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE A DAVIS Authorized Official 702-469-1597 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-03-10 |