Organization
PEACE AND TRANQUILITY RESOURCE CENTER
Active
Other names
Peace and Tranquility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL D SCROGGINS (EXECUTIVE DIRECTOR)
(702) 902-2362
Entity
Organization
Contact information
Practice address
9788 GILESPIE ST STE 424, LAS VEGAS, NV 89183
(792) 902-2362
Mailing address
9788 GILESPIE ST STE 424, LAS VEGAS, NV 89183-7611
(702) 902-2362
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
NV20151125507
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154700987
—
NV
Enumeration date
11/20/2015
Last updated
11/20/2015
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