| NPI | 1932622750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOYA MALONE-DAVIS Officer 725-221-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NV 16583) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-04-23 |