Organization
NEW START AT SECOND CHANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD DESHAWN OSLEY (C.E.O)
(702) 906-1174
Entity
Organization
Contact information
Practice address
101 S RAINBOW BLVD STE 13, LAS VEGAS, NV 89145-5378
(702) 906-1174
(702) 910-2801
Mailing address
101 S RAINBOW BLVD STE 13, LAS VEGAS, NV 89145-5378
(702) 906-1174
(702) 910-2801
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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