Organization
GRACE AND MERCY HUMAN SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DEDEAUX (PRESIDENT)
(702) 272-4393
Entity
Organization
Contact information
Practice address
880 BLANKENSHIP AVE, LAS VEGAS, NV 89106
(702) 489-4226
Mailing address
880 BLANKENSHIP AVE, LAS VEGAS, NV 89106
(702) 489-4226
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
20081080217
NV
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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