| NPI | 1619255122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINDELE EMMANUEL KOLADE Owner 702-629-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A84300) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2022-03-30 |