Organization
MEN THAT WIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN DARVELL SANFORD J.D. (CEO)
(702) 578-6779
Entity
Organization
Contact information
Practice address
5828 MARIA DEL MAR ST, LAS VEGAS, NV 89130-7299
(702) 578-6779
(702) 925-4775
Mailing address
5828 MARIA DEL MAR ST, LAS VEGAS, NV 89130-7299
(702) 578-6779
(702) 925-4775
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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