Organization
STARS CDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEKISHA RENEE HAYES (CEO)
(702) 303-9269
Entity
Organization
Contact information
Practice address
3540 SWENSON ST, LAS VEGAS, NV 89169-9335
(702) 303-9269
(702) 685-2500
Mailing address
3540 SWENSON ST, LAS VEGAS, NV 89169-9335
(702) 303-9269
(702) 685-2500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041S0200X
NV
251B00000X
Case Management Agency
Primary
251B0000X
NV
251S00000X
Community/Behavioral Health Agency
251S00000X
NV
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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