| NPI | 1861320566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RUIZ-LEE Owner 702-265-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-12 |