Organization
INDIAN SPRINGS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JAMES FAGA (CEO)
(702) 994-1821
Entity
Organization
Contact information
Practice address
231 S 3RD ST, SUITE 130, LAS VEGAS, NV 89101-5914
(702) 751-2535
Mailing address
PO BOX 700, INDIAN SPRINGS, NV 89018-0700
(702) 379-7298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20121570862
NV
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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