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Organization

HERO'S JOURNEY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAY TIPPETTS (PRESIDENT)
(702) 375-1488
Entity
Organization

Contact information

Practice address
7381 PRAIRIE FALCON RD, SUITE 140, LAS VEGAS, NV 89128-0811
(702) 375-9235
Mailing address
4612 EVAN RIDGE CT, LAS VEGAS, NV 89129-1624
(702) 375-1488

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
02/04/2010
Last updated
02/04/2010
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