Organization
A LIST FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JR FONOTISATELE BA (OWNER)
(702) 998-6264
Entity
Organization
Contact information
Practice address
3481 E. SUNSET RD SUITE 100, LAS VEGAS, NV 89120
(702) 998-6264
Mailing address
3481 E. SUNSET RD SUITE 100, LAS VEGAS, NV 89120
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
6
NV
Other
Enumeration date
04/29/2011
Last updated
07/21/2022
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