NPI | 1619673092 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIAGNE ARIELLE R DUAVE CEO 702-969-8785 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
Enumeration Date | 2023-02-06 |
Last Update Date | 2023-02-06 |