Organization
BUILDING INTELLIGENT GENERATIONS III INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JOHNSON (PRESIDENT /DIRECTOR)
(702) 883-9591
Entity
Organization
Contact information
Practice address
4080 PARADISE RD # 15-297, LAS VEGAS, NV 89169-4834
(702) 883-9591
Mailing address
4080 PARADISE RD # 15-297, LAS VEGAS, NV 89169-4834
(702) 883-9591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NV
103TR0400X
Rehabilitation Psychologist
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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