| NPI | 1609155894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALD FERRAZ Manager 702-943-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 20111514344) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |