Organization
PRETTYBOY EMPIRE HOMES FOR LGBTQ YOUTH
Active
Other names
Nevada Gay and Lesbian Adolescent Social Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND ARTHUR BESSE M.DIV (REVEREND)
(917) 981-0503
Entity
Organization
Contact information
Practice address
1205 S 10TH ST, LAS VEGAS, NV 89104-1506
(917) 981-0503
Mailing address
1205 S 10TH ST, LAS VEGAS, NV 89104-1506
(917) 981-0503
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
NV20131464024
NV
251V00000X
Voluntary or Charitable Agency
Primary
NV20131464024
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20131464024
NV SOS
NV
Enumeration date
01/31/2014
Last updated
01/31/2014
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