Organization
JLJ COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON JUNIEL (OWNER)
(702) 378-3205
Entity
Organization
Contact information
Practice address
7790 CANYON DIABLO RD, LAS VEGAS, NV 89179-2068
(702) 378-3205
Mailing address
7790 CANYON DIABLO RD, LAS VEGAS, NV 89179-2068
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1600770827
—
NV
Enumeration date
10/15/2018
Last updated
10/15/2018
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