| NPI | 1689243420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WELSH Owner 775-245-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 208000000X Pediatrics |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-09-23 |