| NPI | 1336698992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT PROCTOR Owner 702-878-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 6249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 01665-C) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |