Renewing Health And Wellness
Psychiatry & Neurology, Psychiatry in Las Vegas, NV. Organization (NPI-2).
NPI number1629758131
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1629758131
- Entity type
- Organization (NPI-2)
- Legal business name
- Renewing Health And Wellness
- Organization subpart
- No
- Enumeration date
- Jul 19, 2023
- Certification date
- Jul 19, 2023
- Last updated
- Jul 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
6916 Cedar Basin AveLas Vegas, NV 89142-3719
Phone 725-296-2496 · Fax 801-845-9782
Mailing address
6916 Cedar Basin AveLas Vegas, NV 89142-3719
Phone 725-296-2496 · Fax 801-845-9782
Authorized official
Keesha Angelea Davis
Manager
7252962496
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