Organization
SHEKINAH GLORY HOUSE OF REFUGE
Active
Other names
Shekinah Glory One Step Higher
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN KATHERINE GRAY (OFFICE ADMINISTRATOR)
(702) 790-2977
Entity
Organization
Contact information
Practice address
6018 SMOKE RANCH RD, LAS VEGAS, NV 89108-3700
(702) 790-2977
(725) 251-6664
Mailing address
2400 GOLDENMOON ST, LAS VEGAS, NV 89108-4477
(702) 790-2977
(725) 251-6664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
08/18/2020
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