Organization
FOUNDATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UZURI UZURI (OWNER)
(702) 985-2218
Entity
Organization
Contact information
Practice address
3338 FICO AVE, LAS VEGAS, NV 89141-3512
(702) 985-2218
Mailing address
3338 FICO AVE, LAS VEGAS, NV 89141-3512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20141602644
NV
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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