| NPI | 1609185172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A MANSKY Managing Member 702-257-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |