Organization
CARE COMMUNITY CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY A JACKSON M.A (ADMINISTRATOR)
(702) 860-5190
Entity
Organization
Contact information
Practice address
1052 W OWENS AVE, LAS VEGAS, NV 89106-2520
(702) 877-9850
Mailing address
1052 W OWENS AVE, LAS VEGAS, NV 89106-2520
(702) 877-9850
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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