Organization
DERRICK COPES
Active
Organization
DERRICK COPES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK COPES BST (ADMINISTRATOR)
(702) 636-5373
Entity
Organization
Contact information
Practice address
1230 W OWENS AVE STE 6, LAS VEGAS, NV 89106-2451
(702) 636-5373
Mailing address
1230 W OWENS AVE STE 6, LAS VEGAS, NV 89106-2451
(702) 636-5373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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