Organization
MIND HEART AND SOUL BEHAVIOR COUNSELING & WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRA PERRY (CEO)
(702) 477-5086
Entity
Organization
Contact information
Practice address
1410 SANTA MARGARITA ST, UNIT H, LAS VEGAS, NV 89146-2939
(702) 477-5086
Mailing address
1410 SANTA MARGARITA ST, UNIT H, LAS VEGAS, NV 89146-2939
(702) 477-5086
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
251500000X
NV
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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