NPI | 1700459773 |
---|---|
Doing Business As | VEGAS INNOVATIVE PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | ANSHON SEARS Practice Administrator 702-202-0099 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-07-19 |
Last Update Date | 2021-07-19 |