Organization
HUMBLE BEGINNINGS RTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JOHNSON (OWNER)
(702) 504-3767
Entity
Organization
Contact information
Practice address
11016 SUMMER QUAIL AVE, LAS VEGAS, NV 89144-1456
(702) 504-3767
Mailing address
11016 SUMMER QUAIL AVE, LAS VEGAS, NV 89144-1456
(702) 504-3767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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