Organization
GATEWAY LV LLC
Active
Other names
Adams House
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY B IVERSON (CEO)
(702) 279-1298
Entity
Organization
Contact information
Practice address
37 W OWENS AVE, NORTH LAS VEGAS, NV 89030-6865
(702) 279-1298
Mailing address
37 W OWENS AVE, NORTH LAS VEGAS, NV 89030-6865
(702) 279-1298
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
7756AGC-0
NV
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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