| NPI | 1881571248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA YATES Billing Manager 702-655-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 104100000X Social Worker |
| 225X00000X Occupational Therapist | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-09-24 |