| NPI | 1639579162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME NWANNA NWOKIKE Owner 702-750-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2016-09-27 |