| NPI | 1952157646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DAVIS Director Of Operations 702-765-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |