Organization
A&R DIVERSIFIED HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKILAH BENNETT (OWNER)
(702) 818-3138
Entity
Organization
Contact information
Practice address
6655 W SAHARA AVE, LAS VEGAS, NV 89146-0842
(702) 818-3138
Mailing address
6655 W SAHARA AVE, LAS VEGAS, NV 89146-0842
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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