Organization
COMMUNITY PLACEMENTS OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP ALLEN MFT INTERN (EXECUTIVE DIRECTOR)
(702) 767-8672
Entity
Organization
Contact information
Practice address
9065 S PECOS RD STE 270, HENDERSON, NV 89074-7189
(702) 767-8672
Mailing address
9065 S PECOS RD STE 270, HENDERSON, NV 89074-7189
(702) 767-8672
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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