Organization
JEFFERSON FAMILY CORPORATION INC
Active
Other names
COGNISIVE CLINC: THE CENTER FOR BRAIN HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE MAE SPENCER (OWNER)
(702) 684-3573
Entity
Organization
Contact information
Practice address
1229 W ADAMS AVE, LAS VEGAS, NV 89106-2839
(702) 684-3573
Mailing address
1229 W ADAMS AVE, LAS VEGAS, NV 89106-2839
(702) 684-3573
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2018
Last updated
11/15/2018
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