Organization
COMMUNITY OUTREACH MEDICAL CENTER
Active
Parent organization
COMMUNITY OUTREACH MEDICAL CENTER
Other names
Community Outreach Medical Center-CCBHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY OUTREACH MEDICAL CENTER
Authorized official
KEMA OGDEN (EXECUTIVE DIRECTOR)
(702) 657-3873
Entity
Organization
Contact information
Practice address
1090 E DESERT INN RD STE 100, LAS VEGAS, NV 89109-2803
(702) 657-3873
Mailing address
1090 E DESERT INN RD STE 100, LAS VEGAS, NV 89109-2803
(702) 657-3873
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/21/2021
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