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Organization
LIONS CREST L.L.C.
Active
Organization
LIONS CREST L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WASCAR CRUZ (OWNER)
(702) 485-5050
Entity
Organization
Contact information
Practice address
5420 W SAHARA AVE STE 102-2, LAS VEGAS, NV 89146-0394
(702) 485-5050
(702) 485-5207
Mailing address
5420 W SAHARA AVE STE 102-2, LAS VEGAS, NV 89146-0394
(702) 485-5050
(702) 485-5207
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/28/2013
Last updated
10/25/2013
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