Organization
ASSERTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR C SUTTON M.S.W. (PRESIDENT AND CEO)
(702) 302-1105
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD, STE 220, LAS VEGAS, NV 89121-5003
(702) 202-2902
(702) 202-6551
Mailing address
1350 E FLAMINGO RD, BOX 577, LAS VEGAS, NV 89119-5263
(702) 202-2902
(702) 202-6551
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005055395
—
NV
Enumeration date
01/18/2009
Last updated
06/21/2011
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