| NPI | 1801412218 |
|---|---|
| Doing Business As | GRAND DESERT PSYCHIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | MATTHEW OKEKE Owner 702-202-0099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-07-02 |