Organization
REKINDLED HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JAMES BROXTERMAN (OWNER)
(702) 429-2654
Entity
Organization
Contact information
Practice address
8107 CIMARRON MEADOWS WAY, LAS VEGAS, NV 89147-5055
(702) 429-2654
(702) 221-4275
Mailing address
8107 CIMARRON MEADOWS WAY, LAS VEGAS, NV 89147-5055
(702) 429-2654
(702) 221-4275
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20121198867
NV
Other
Enumeration date
05/18/2012
Last updated
07/13/2012
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