| NPI | 1598653222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI V BASS Credentialist 702-591-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |