Organization
NEW FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOSHA LYNNORE CAMPBELL (DIRECTOR)
(702) 517-3058
Entity
Organization
Contact information
Practice address
1248 LAWRY AVE, LAS VEGAS, NV 89106-2357
(702) 517-3058
(702) 534-1579
Mailing address
1248 LAWRY AVE, LAS VEGAS, NV 89106-2357
(702) 517-3058
(702) 534-1579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
07/08/2011
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