Organization
COLLABORATION CENTER FOUNDATION
Active
Other names
Collaboration Center Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA TACHE (CEO)
(702) 217-4194
Entity
Organization
Contact information
Practice address
8390 W WINDMILL LN, LAS VEGAS, NV 89113-4420
(702) 329-3208
Mailing address
8390 W WINDMILL LN, LAS VEGAS, NV 89113-4420
(702) 329-3208
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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