Organization
DYNAMIC FAMILY THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD CROOM (MANAGER OF OPERATIONS)
(702) 410-8400
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD STE 317, LAS VEGAS, NV 89119-5193
(702) 410-8400
(702) 410-8401
Mailing address
2110 E FLAMINGO RD STE 317, LAS VEGAS, NV 89119-5193
(702) 410-8400
(702) 410-8401
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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