Fairclough Consulting Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Las Vegas, NV. Organization (NPI-2).
NPI number1346858024
StatusActive
Last updated in NPPESJul 17, 2020
Details
- NPI
- 1346858024
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairclough Consulting Services, LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2020
- Certification date
- Jul 17, 2020
- Last updated
- Jul 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
9224 Tudor Park PlLas Vegas, NV 89145-8726
Phone 561-309-3507
Mailing address
9224 Tudor Park PlLas Vegas, NV 89145-8726
Phone 561-309-3507
Authorized official
Keith Anthony Fairclough
Ceo
5613093507
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