| NPI | 1578842373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN FAKIEL Owner 702-326-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NV NV8062) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2022-07-21 |