Organization
HUNTRIDGE FAMILY CLINIC FOUNDATION DBA PRISM HEALTH SERVICES FOUNDATIO
Active
Parent organization
HUNTRIDGE FAMILY CLINIC FOUNDATION
Other names
Full Spectrum Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUNTRIDGE FAMILY CLINIC FOUNDATION
Authorized official
KATHLEEN MARSHALL (CHIEF EXECUTIVE OFFICER)
(702) 430-9620
Entity
Organization
Contact information
Practice address
7670 WEST SAHARA AVE, SUITE B, LAS VEGAS, NV 89117
(702) 430-9620
(702) 430-9630
Mailing address
8550 W CHARLESTON BLVD #102, LAS VEGAS, NV 89117
(702) 430-9620
(702) 430-9630
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
09/11/2020
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