Organization
EAST CHARLESTON MENTAL HEALTH CLINC AND COUNSELING
Active
Parent organization
EBONNY VENTURES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EBONNY VENTURES INC
Authorized official
MR. FESTUS EBONKA (DIRECTOR)
(702) 515-9680
Entity
Organization
Contact information
Practice address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 515-9680
Mailing address
1721 E CHARLESTON BLVD, LAS VEGAS, NV 89104-1902
(702) 515-9680
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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