Organization
DY ADVANCED CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUDIEL GARCIA CASANOVA MA (OWNER)
(702) 861-3406
Entity
Organization
Contact information
Practice address
6461 ZA ZU PITTS AVE UNIT 103, LAS VEGAS, NV 89122-1688
(702) 861-3406
Mailing address
6461 ZA ZU PITTS AVE UNIT 103, LAS VEGAS, NV 89122-1688
(702) 861-3406
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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