| NPI | 1518813666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BROWN Business Manager 702-405-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-05-06 |