| NPI | 1538646955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MILLER-HOOKS Credentialer 702-335-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-07-22 |