Organization
ENIGMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTTO M BERK LCSW (OWNER)
(718) 986-3133
Entity
Organization
Contact information
Practice address
2432 SHADY VISTA DR, LAS VEGAS, NV 89134-0191
(718) 986-3133
Mailing address
2432 SHADY VISTA DR, LAS VEGAS, NV 89134-0191
(718) 986-3133
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
11/12/2021
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