Organization
TRIUMPHANT FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK RUSSELL QMHA (CEO)
(702) 771-0053
Entity
Organization
Contact information
Practice address
1516 E TROPICANA AVE, 295-2, LAS VEGAS, NV 89119-6525
(702) 771-0053
Mailing address
1516 E TROPICANA AVE, 295-2, LAS VEGAS, NV 89119-6525
(702) 771-0053
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780989699
—
NV
Enumeration date
09/06/2013
Last updated
06/05/2015
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