Organization
VILLAGE OF HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY HAYDEN WILSON M..ED (SOCIAL WORKER)
(702) 582-8635
Entity
Organization
Contact information
Practice address
9225 W CHARLESTON BLVD, 2211, LAS VEGAS, NV 89117-7041
(702) 582-8635
Mailing address
9225 W CHARLESTON BLVD, 2211, LAS VEGAS, NV 89117-7041
(702) 582-8635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538490776
—
NV
Enumeration date
12/13/2011
Last updated
12/13/2011
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