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 |