Organization
NEW FOUNDATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHA LYNNORE CAMPBELL (DIRECTOR/OWNER)
(702) 822-1206
Entity
Organization
Contact information
Practice address
224 S JONES BLVD, LAS VEGAS, NV 89107-2657
(702) 822-1206
(702) 822-1124
Mailing address
224 S. JONES, LAS VEGAS, NV 89107
(702) 822-1206
(702) 822-1124
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
11/12/2013
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