| Prevention Gambler Foundation Non Profit | |
|
3440 W Chynne Ave Ste 500 North Las Vegas NV 89032-8224 | |
| (954) 860-3216 | |
| Not Available |
| Full Name | Prevention Gambler Foundation Non Profit |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 3440 W Chynne Ave Ste 500, North Las Vegas, Nevada |
| Authorized Official Name and Position | Rita Dominguez Roman (PRESIDENT) |
| Authorized Official Contact | 9548603216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention Gambler Foundation Non Profit 6285 Angora Peak Ln # 89115 Las Vegas NV 89115-1662 Ph: (954) 860-3216 | Prevention Gambler Foundation Non Profit 3440 W Chynne Ave Ste 500 North Las Vegas NV 89032-8224 Ph: (954) 860-3216 |
| NPI Number | 1144047713 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144047713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
| 282J00000X | Religious Nonmedical Health Care Institution | (* (Not Available)) | Secondary |
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