Organization
MACAYLA POWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MACAYLA B POWELL (BASIC SKILLS TRAINER)
(702) 351-9094
Entity
Organization
Contact information
Practice address
2020 GAULT CT, NORTH LAS VEGAS, NV 89032-0614
(702) 351-9094
Mailing address
2020 GAULT CT., NORTH LAS VEGAS, NV 89032
(702) 351-9094
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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