Organization
BRISCOTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENTON BRISCO (FOUNDER)
(818) 805-6111
Entity
Organization
Contact information
Practice address
7357 JELSON FALLS ST, LAS VEGAS, NV 89131-2654
(818) 805-6111
Mailing address
7357 JELSON FALLS ST, LAS VEGAS, NV 89131-2654
(818) 805-6111
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NV
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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