Organization
FAMILY HEALTHCARE DUAL DIAGNOSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAQUITA MICHELLE BROOKS (CHIEF EXECUTIVE OFFICER)
(702) 221-1991
Entity
Organization
Contact information
Practice address
6656 MAJESTIC PEARL PL, NORTH LAS VEGAS, NV 89084-1219
(725) 220-7903
Mailing address
500 N RAINBOW BLVD STE 300, LAS VEGAS, NV 89107-1061
(702) 221-1991
(702) 221-1901
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
04/19/2021
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