| Village Of Hope, Llc | |
|
9225 W Charleston Blvd 2211 Las Vegas NV 89117-7041 | |
| (702) 582-8635 | |
| Not Available |
| Full Name | Village Of Hope, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9225 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Mary Hayden Wilson (SOCIAL WORKER) |
| Authorized Official Contact | 7025828635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Of Hope, Llc 9225 W Charleston Blvd 2211 Las Vegas NV 89117-7041 Ph: (702) 582-8635 | Village Of Hope, Llc 9225 W Charleston Blvd 2211 Las Vegas NV 89117-7041 Ph: (702) 582-8635 |
| NPI Number | 1427326842 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427326842 | NPI | - | NPPES |
| 1538490776 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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