| Our Little World Treatment Center | |
|
12231 S Eastern Ave Ste 140 Henderson NV 89052-4415 | |
| (702) 376-2838 | |
| (702) 933-9122 |
| Full Name | Our Little World Treatment Center |
|---|---|
| Speciality | Psychologist |
| Location | 12231 S Eastern Ave Ste 140, Henderson, Nevada |
| Authorized Official Name and Position | Salvadora Godorov (OWNER/DIRECTOR) |
| Authorized Official Contact | 7023762838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Little World Treatment Center 165 Vitale Ave Henderson NV 89002-9208 Ph: (702) 376-2838 | Our Little World Treatment Center 12231 S Eastern Ave Ste 140 Henderson NV 89052-4415 Ph: (702) 376-2838 |
| NPI Number | 1538543566 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538543566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PY0522 (Nevada) | Primary |
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