Organization
IT S FOREVER LLC
Active
Other names
GENESIS BEHAVIOR CENTER LAS VEGAS
Organization subpart
No
Provider details
NPI number
Authorized official
ROGLY TUPAS SUASIN (OWNER)
(808) 387-0245
Entity
Organization
Contact information
Practice address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6308
(808) 387-0245
Mailing address
3735 CAPE ROYAL ST, LAS VEGAS, NV 89147-6574
(808) 387-0245
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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