# GAY AND LESBIAN COMMUNITY CENTER OF SOUTHERN NEVADA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821741299
- **Authorized official:** LATASHA PITTMAN (CREDENTIALING MANAGER)
- **Authorized official phone:** (512) 623-6995

## Contact information

- **Practice address:** 401 S MARYLAND PKWY, LAS VEGAS, NV 89101-7206
- **Practice address phone:** (702) 733-9800
- **Practice address fax:** (702) 733-9550
- **Mailing address:** 401 S MARYLAND PKWY, LAS VEGAS, NV 89101-7206
- **Mailing address phone:** (702) 733-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2022
- **Last updated:** 06/27/2024