Organization
DISCOVERY MIND AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY MILLER (DIRECT SUPERVISER)
(702) 968-9372
Entity
Organization
Contact information
Practice address
659 AVENUE H, BOULDER CITY, NV 89005-2725
(310) 591-0123
Mailing address
659 AVENUE H, BOULDER CITY, NV 89005-2725
(310) 591-0123
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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