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A Dream Deferred LLC

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

NPI number1255896031
StatusActive
Last updated in NPPESFeb 25, 2019

Details

NPI
1255896031
Entity type
Organization (NPI-2)
Legal business name
A Dream Deferred LLC
Organization subpart
No
Enumeration date
Feb 5, 2019
Last updated
Feb 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1633 Fontana Cliffs Ct
North Las Vegas, NV 89084-2028

Phone 702-336-0221

Mailing address

4132 S Rainbow Blvd Ste 376
Las Vegas, NV 89103-3106

Authorized official

Lashannon R Lewis
Owner
7023360221

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