Organization
HINA'S ODYSSEY, LLC
Active
Other names
Hina's Odyssey
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE BISON PHD (CLINICAL DIRECTOR)
(775) 475-4754
Entity
Organization
Contact information
Practice address
4132 S RAINBOW BLVD, SUITE 149, LAS VEGAS, NV 89103-3106
(775) 475-4754
(775) 403-1795
Mailing address
4132 S RAINBOW BLVD, SUITE 149, LAS VEGAS, NV 89103-3106
(775) 475-4754
(775) 403-1795
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20141711940
NV
Other
Enumeration date
12/25/2016
Last updated
12/25/2016
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