| NPI | 1881038370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PARK Owner 702-685-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV DO1568) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |