Organization
ANYTHING IS POSSIBLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONY MAHSIN LEWIS (MANGER/OWNER)
(702) 752-6463
Entity
Organization
Contact information
Practice address
4045 SPENCER ST STE A45, LAS VEGAS, NV 89119-5245
(702) 637-9011
Mailing address
4045 SOUTH SPENCER STREET A-45, LAS VEGAS, NV 89119
(702) 637-9011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20141110713
NV
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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