Organization
EBONY GRIFFIN
Active
Organization
EBONY GRIFFIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY F HARRIS LADC, LCSW (CLINICAL SUPERVISOR)
(702) 592-4814
Entity
Organization
Contact information
Practice address
3803 ANKARA WALK DR, NORTH LAS VEGAS, NV 89032-1228
(702) 884-6342
Mailing address
3803 ANKARA WALK DR, NORTH LAS VEGAS, NV 89032-1228
(702) 884-6342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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