Organization
MAN UP MAN DOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LITTLEJOHN (OWNER)
(702) 250-2012
Entity
Organization
Contact information
Practice address
2415 ENCHANTMENT CIR, HENDERSON, NV 89074-6285
(702) 250-2012
Mailing address
2415 ENCHANTMENT CIRCLE, HENDERSON, NV 89074
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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