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Organization
RESTORING THE MIND
Active
Organization
RESTORING THE MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA PAIGE (CEO)
(760) 513-1551
Entity
Organization
Contact information
Practice address
2224 W WASHINGTON AVE, LAS VEGAS, NV 89106-3619
(760) 513-1551
Mailing address
2224 W WASHINGTON AVE, LAS VEGAS, NV 89106-3619
(760) 513-1551
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234567
—
NV
Enumeration date
08/01/2022
Last updated
08/01/2022
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