| NPI | 1356766497 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DIANA LOWRY HAVILL Attending Physician 702-492-9439 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 13759) | 
| Enumeration Date | 2014-02-26 | 
| Last Update Date | 2014-02-26 |