Organization
EVERTON'S PLACE II, INC
Active
Other names
IMpossible Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL DRAKE (TREASURER)
(702) 622-2679
Entity
Organization
Contact information
Practice address
1333 N BUFFALO DR UNIT 250, LAS VEGAS, NV 89128-3637
(702) 507-0373
Mailing address
10166 SKYE SADDLE AVE, LAS VEGAS, NV 89166-6597
(702) 622-2679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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