| NPI | 1306416433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HAGER Executive Director 702-844-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |