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Diphrent Health

Community/Behavioral Health in North Las Vegas, NV. Organization (NPI-2).

NPI number1023829942
StatusActive
Last updated in NPPESJan 20, 2025

Details

NPI
1023829942
Entity type
Organization (NPI-2)
Legal business name
Diphrent Health
Organization subpart
No
Enumeration date
Jan 20, 2025
Certification date
Jan 19, 2025
Last updated
Jan 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • N/A (Other Name)

Practice location

773 Clouded Valley Ave
North Las Vegas, NV 89086-3000

Phone 702-374-8574

Mailing address

2270 Losee Rd
North Las Vegas, NV 89030-4109

Authorized official

Tyler Gaston
Co-Owner
7023748574

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