Organization
ONE COMMUNITY OF SOUTHERN NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHA BONAPARTE-VIRGIL (DIRECTOR)
(203) 578-6478
Entity
Organization
Contact information
Practice address
1230 W OWENS AVE STE 1, LAS VEGAS, NV 89106-2451
(203) 578-6478
Mailing address
2412 MARVELOUS MANOR AVE, NORTH LAS VEGAS, NV 89032-1442
(203) 578-6478
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV20212108865
—
NV
Enumeration date
09/07/2021
Last updated
12/02/2021
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