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2350 S Jones Blvd Ste 224 Las Vegas NV 89146-3103 | |
| (702) 215-5835 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2350 S Jones Blvd Ste 224, Las Vegas, Nevada |
| Authorized Official Name and Position | Leon Martel Harrell (OWNER/MANAGER) |
| Authorized Official Contact | 7029063467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2350 S Jones Blvd Ste 224 Las Vegas NV 89146-3103 Ph: (702) 215-5835 | 2350 S Jones Blvd Ste 224 Las Vegas NV 89146-3103 Ph: (702) 215-5835 |
| NPI Number | 1073012670 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073012670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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