New Start At Second Chance LLC
Community/Behavioral Health in Las Vegas, NV. Organization (NPI-2).
NPI number1396166310
StatusActive
Last updated in NPPESDec 17, 2013
Details
- NPI
- 1396166310
- Entity type
- Organization (NPI-2)
- Legal business name
- New Start At Second Chance LLC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2013
- Last updated
- Dec 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1201 Jefferson AveLas Vegas, NV 89106-2833
Phone 702-528-3240
Mailing address
1201 Jefferson AveLas Vegas, NV 89106-2833
Phone 702-528-3240
Authorized official
Clifford Osley
Ceo
7025283240
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