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Organization
OUR LITTLE WORLD TREATMENT CENTER
Active
Organization
OUR LITTLE WORLD TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVADORA GODOROV (OWNER/DIRECTOR)
(702) 742-3093
Entity
Organization
Contact information
Practice address
12231 S EASTERN AVE STE 140, 3RD FLOOR, HENDERSON, NV 89052-4415
(702) 742-3093
Mailing address
12231 S EASTERN AVE STE 140, HENDERSON, NV 89052-4415
(702) 742-3093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NV20131474316
NV
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/23/2013
Last updated
01/30/2017
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