| NPI | 1760288500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE ANNE LANCZ Director 702-556-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-21 |