Organization
UNITED FRONT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL EATON (OWNER)
(281) 413-6251
Entity
Organization
Contact information
Practice address
6955 N DURANGO DR STE 1115-375, LAS VEGAS, NV 89149-4411
(281) 413-6251
Mailing address
6955 N DURANGO DR STE 1115-375, LAS VEGAS, NV 89149-4411
(281) 413-6251
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376774711
—
NV
01
—
1467701219
ABA
CA
Enumeration date
09/12/2019
Last updated
09/12/2019
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