| NPI | 1588839203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRETTO EILEEN OWEN Credentialer 702-838-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 815) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |