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Organization

VIP SUPPORT SERVICES

Active
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Organization

VIP SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORENTHIA CLAYTON (CEO)
(702) 504-3767
Entity
Organization

Contact information

Practice address
3925 MARTIN LUTHER KING BLVD, 208, NORTH LAS VEGAS, NV 89032
(702) 504-3767
Mailing address
3925 MARTIN LUTHER KING BLVD, 208, NORTH LAS VEGAS, NV 89032
(702) 504-3767

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20171419211
NV

Other

Enumeration date
07/03/2017
Last updated
07/21/2022
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