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Organization
M.O.M.S COMMUNITY DEVELOPMENT CORPORATION
Active
Organization
M.O.M.S COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
M.O.M.S COMMUNITY DEVELOPMENT CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS TELLIS (PRESIDENT)
(702) 639-4400
Entity
Organization
Contact information
Practice address
3620 N RANCHO DR STE 111, LAS VEGAS, NV 89130-3154
(702) 639-4400
(702) 639-4403
Mailing address
3620 N RANCHO DR STE 111, LAS VEGAS, NV 89130-3154
(702) 639-4400
(702) 639-4403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2011
Last updated
01/18/2017
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