| NPI | 1336397678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ALISA DILAURO Administrator 702-360-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NV 10917) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 4910-C) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |