| NPI | 1922759760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY SMITH Manager 702-325-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |