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Organization
TEMPLE OF THE LORD OUTREACH
Active
Organization
TEMPLE OF THE LORD OUTREACH
Active
Other names
Agape House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS GRAY III (DIRECTOR)
(702) 401-9314
Entity
Organization
Contact information
Practice address
94 ANCIENT HILLS LN, HENDERSON, NV 89074-1750
(702) 401-9314
(702) 475-6845
Mailing address
94 ANCIENT HILLS LN, HENDERSON, NV 89074-1750
(702) 401-9314
(702) 465-6845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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