| NPI | 1871090498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK A WAN CEO 702-586-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NV NV20151645220) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-06-21 |