100 Entertainment Group LLC
Counselor, Mental Health in Las Vegas, NV. Organization (NPI-2).
NPI number1275123382
StatusActive
Last updated in NPPESJan 22, 2021
Details
- NPI
- 1275123382
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 Entertainment Group LLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2021
- Certification date
- Jan 22, 2021
- Last updated
- Jan 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Project 100 Health (Doing Business As)
Practice location
650 S Town Center Dr Apt 1099Las Vegas, NV 89144-4427
Phone 714-603-9578
Mailing address
650 S Town Center Dr Apt 1099Las Vegas, NV 89144-4427
Authorized official
Thomas Brown
Owner
7146039578
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