Hina'S Odyssey, LLC
Community/Behavioral Health in Las Vegas, NV. Organization (NPI-2).
NPI number1508301730
StatusActive
Last updated in NPPESDec 25, 2016
Details
- NPI
- 1508301730
- Entity type
- Organization (NPI-2)
- Legal business name
- Hina'S Odyssey, LLC
- Organization subpart
- No
- Enumeration date
- Dec 25, 2016
- Last updated
- Dec 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | NV20141711940 | NV | Yes |
Other names
- Hina'S Odyssey (Doing Business As)
Practice location
4132 S Rainbow BlvdSuite 149
Las Vegas, NV 89103-3106
Phone 775-475-4754 · Fax 775-403-1795
Mailing address
4132 S Rainbow BlvdSuite 149
Las Vegas, NV 89103-3106
Phone 775-475-4754 · Fax 775-403-1795
Authorized official
Melanie Bison
Clinical Director
7754754754
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