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Organization
EVERTON'S PLACE LLC
Active
Organization
EVERTON'S PLACE LLC
Active
Other names
IMpossible Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL DRAKE (COO/DIRECTOR OF OPERATIONS)
(702) 622-2679
Entity
Organization
Contact information
Practice address
1333 N BUFFALO DR UNIT 250, LAS VEGAS, NV 89128-3637
(702) 507-0373
Mailing address
10166 SKYE SADDLE AVE, LAS VEGAS, NV 89166-6597
(702) 507-0373
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
12/02/2021
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