Organization
ST BENEDICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELYN R JAVIER (OWNER)
(702) 454-1203
Entity
Organization
Contact information
Practice address
3625 ROSEWOOD DR, LAS VEGAS, NV 89121-3261
(702) 454-0532
(702) 454-0532
Mailing address
145 BROKEN TEE DR, HENDERSON, NV 89074-8324
(702) 454-1203
(702) 454-1203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1000234-706
NV
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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