| NPI | 1558981068 |
|---|---|
| Doing Business As | VEGAS INNOVATIVE PSYCHIATRY |
| Former Legal Business Name | VEGAS INNOVATIVE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | MARIA FERNANDA MITCHELL Promgram Director 702-580-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |