| NPI | 1699071340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIL ALI Psychologist 702-212-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 2000793320) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |