Organization
AHAVAH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JSHAUNTAE MARSHALL (DIRECTOR)
(775) 538-5104
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD STE 321, LAS VEGAS, NV 89119-5190
(775) 538-5104
Mailing address
2110 E FLAMINGO RD STE 321, LAS VEGAS, NV 89119-5190
(775) 538-5104
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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