| NPI | 1952804676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ANDREW EVANS Sole Member 702-502-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CO DR.55417) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |