| NPI | 1700338084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI ANSARINIA Director 702-951-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NV NV20161411462) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |