Organization
AWARE VEGAS
Active
Other names
AWARE
Organization subpart
No
Provider details
NPI number
Authorized official
CHINAZOR EZELI (ADMINISTRATOR)
(702) 610-4190
Entity
Organization
Contact information
Practice address
2800 W SAHARA AVE STE 6C, LAS VEGAS, NV 89102-4383
(702) 720-9037
Mailing address
149 TYLER CT, HENDERSON, NV 89074-0660
(702) 610-4190
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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