Organization
OPULENT MIND CENTER
Active
Organization
OPULENT MIND CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ANDREW SANTIAGO (AGENCY OWNER)
(330) 714-8926
Entity
Organization
Contact information
Practice address
3136 VIA FESTIVA, HENDERSON, NV 89044-0283
(330) 714-8926
Mailing address
3136 VIA FESTIVA, HENDERSON, NV 89044-0283
(330) 714-8926
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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