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Organization
SUPER LIFE CODES FOUNDATION
Active
Organization
SUPER LIFE CODES FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN TSUI (EXECUTIVE DIRECTOR)
(626) 715-9088
Entity
Organization
Contact information
Practice address
4276 SPRING MOUNTAIN RD UNIT 214, LAS VEGAS, NV 89102-8781
(702) 981-8456
Mailing address
4276 SPRING MOUNTAIN RD UNIT 214, LAS VEGAS, NV 89102-8781
(702) 981-8456
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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