Organization
DIAMOND CMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMNA GVAGVALIA (CEO)
(415) 299-9782
Entity
Organization
Contact information
Practice address
5530 S JONES BLVD # NV, LAS VEGAS, NV 89118-0566
(415) 299-9782
Mailing address
5530 S JONES BLVD # NV, LAS VEGAS, NV 89118-0566
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/04/2024
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