Organization
SANKOFA GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES F. MILLER (DIRECTOR)
(702) 656-3620
Entity
Organization
Contact information
Practice address
6104 TAMAR CT., LAS VEGAS, NV 89130
(702) 656-3620
Mailing address
6104 TAMAR CT, LAS VEGAS, NV 89130-1370
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
GF-125401719-0001
NV
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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