Organization
MCDONNELL STEP UP I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL MCDONNELL II (MANAGER)
(702) 241-5472
Entity
Organization
Contact information
Practice address
1072 W BARTLETT AVE, LAS VEGAS, NV 89106-2218
(702) 241-5472
(702) 410-8016
Mailing address
1072 W BARTLETT AVE, LAS VEGAS, NV 89106-2218
(702) 241-5472
(702) 410-8016
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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