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Organization
WHEATLEY DE FORGE FOUNDATION
Active
Organization
WHEATLEY DE FORGE FOUNDATION
Active
Other names
WHEATLEY DE FORGE Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LENNY DEFORGE (PRESIDENT)
(702) 778-9875
Entity
Organization
Contact information
Practice address
9310 SUN CITY BLVD STE 101, LAS VEGAS, NV 89134-1705
(702) 250-2520
(702) 778-9875
Mailing address
9310 SUN CITY BLVD STE 101, LAS VEGAS, NV 89134-1705
(702) 250-2520
(702) 778-9875
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
07/06/2022
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