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Organization
SHEKINAH GLORY HOUSE OF REFUGE
Active
Organization
SHEKINAH GLORY HOUSE OF REFUGE
Active
Other names
Shekinah Glory One Step Higher
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN KATHERINE GRAY (OFFICE ADMINISTRATOR)
(702) 790-2977
Entity
Organization
Contact information
Practice address
6018 SMOKE RANCH RD, LAS VEGAS, NV 89108-3700
(702) 790-2977
(725) 251-6664
Mailing address
2400 GOLDENMOON ST, LAS VEGAS, NV 89108-4477
(702) 790-2977
(725) 251-6664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
08/18/2020
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