| NPI | 1629804687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J FREEMAN Chief Clinical Officer 702-900-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |