| NPI | 1649956053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAGNE ARIELLE ROGUE DUAVE CEO 702-969-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |