| NPI | 1922572601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SCHNEIDER VP 702-558-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |