| NPI | 1578117362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKOLAS CULPEPPER Owner 775-571-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-10-30 |