Organization
A PLACE CALLED HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRL CELESTE ARAQUIL (DIRECTOR)
(702) 381-4774
Entity
Organization
Contact information
Practice address
3308 SALMON CREEK DR, 3752 BOSSA NOVA DR, LAS VEGAS, NV 89129-6186
(702) 381-4774
Mailing address
3752 BOSSA NOVA DR, 3308 SALMON CREEK, LAS VEGAS, NV 89129-6800
(702) 381-4774
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NV
251S00000X
Community/Behavioral Health Agency
—
NV
251V00000X
Voluntary or Charitable Agency
Primary
—
NV
302F00000X
Exclusive Provider Organization
—
NV
Other
Enumeration date
11/16/2014
Last updated
03/24/2016
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