Organization
BULLY BUSTERS 702
Active
Organization
BULLY BUSTERS 702
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BOWEN (DIRECTOR)
(702) 292-5023
Entity
Organization
Contact information
Practice address
930 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 339-6418
Mailing address
930 W OWENS AVE, LAS VEGAS, NV 89106-2516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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