Organization
WHEATLEY DE FORGE FOUNDATION
Active
Other names
WHEATLEY DE FORGE Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LENNY DEFORGE (PRESIDENT)
(702) 778-9875
Entity
Organization
Contact information
Practice address
9310 SUN CITY BLVD STE 101, LAS VEGAS, NV 89134-1705
(702) 250-2520
(702) 778-9875
Mailing address
9310 SUN CITY BLVD STE 101, LAS VEGAS, NV 89134-1705
(702) 250-2520
(702) 778-9875
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
07/06/2022
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