Organization
ENLIGHTENED PATH
Active
Organization
ENLIGHTENED PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAUNCAY J LUCAS (CFO/CEO)
(505) 814-9745
Entity
Organization
Contact information
Practice address
5544 MYRON CIR, LAS VEGAS, NV 89142-1123
(505) 814-9745
Mailing address
5544 MYRON CIR, LAS VEGAS, NV 89142-1123
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2002981062101
NV
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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