Organization
CRISIS CARE AND LIFE ENHANCEMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWONE OWENS SR. (OWNER)
(725) 293-1333
Entity
Organization
Contact information
Practice address
800 N RAINBOW BLVD STE 120, LAS VEGAS, NV 89107-1190
(702) 966-7340
Mailing address
800 N RAINBOW BLVD STE 120, LAS VEGAS, NV 89107-1190
(702) 966-7340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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