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Organization

LIFE CHANGING SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO CERVERA (COUNSELOR)
(702) 808-4285
Entity
Organization

Contact information

Practice address
4880 E BONANZA RD, SUITE 9, LAS VEGAS, NV 89110-3469
(702) 489-8172
Mailing address
1700 ALTA DR, 1095, LAS VEGAS, NV 89106-4148

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00527-P
NV

Other

Enumeration date
04/06/2015
Last updated
04/06/2015
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