| NPI | 1568669547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ELLEN QUINN Billing Manager 702-454-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 500) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-11-30 |