Organization
INDIVIDUAL
Active
Organization
INDIVIDUAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSIFINA R ADAMS (OWNER)
(702) 203-2381
Entity
Organization
Contact information
Practice address
8105 HIDDEN QUAIL AVE, LAS VEGAS, NV 89131-4647
(702) 203-2381
Mailing address
8105 HIDDEN QUAIL AVE, LAS VEGAS, NV 89131-4647
(702) 203-2381
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
E0613242008-1
NV
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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