Organization
A DREAM DEFERRED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHANNON R LEWIS (OWNER)
(702) 336-0221
Entity
Organization
Contact information
Practice address
1633 FONTANA CLIFFS CT, NORTH LAS VEGAS, NV 89084-2028
(702) 336-0221
Mailing address
4132 S RAINBOW BLVD STE 376, LAS VEGAS, NV 89103-3106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/25/2019
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