Organization
JEFFERSON & SHAW HOLDINGS
Active
Organization
JEFFERSON & SHAW HOLDINGS
Active
Other names
Center for Positive Change
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE WALLACE (ASSISTANT)
(702) 417-9024
Entity
Organization
Contact information
Practice address
4249 N COMMERCE ST, NORTH LAS VEGAS, NV 89032-1181
(702) 417-9024
Mailing address
4249 N COMMERCE ST, NORTH LAS VEGAS, NV 89032-1181
(702) 417-9024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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