Organization
TRANSITION AND LIFE INTERVENTIONS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI JACKSON (OWNER)
(702) 570-3853
Entity
Organization
Contact information
Practice address
9916 MARKHORN CT, LAS VEGAS, NV 89149-3741
(702) 570-3853
Mailing address
9916 MARKHORN CT, LAS VEGAS, NV 89149-3741
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
NV20161055721
NV
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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