Organization
MINDS MATTER LV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SMITH (MANAGER)
(503) 689-7577
Entity
Organization
Contact information
Practice address
6130 ELTON AVE, LAS VEGAS, NV 89107-2538
(702) 475-7442
(702) 475-7436
Mailing address
6130 ELTON AVE, LAS VEGAS, NV 89107-2538
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/12/2015
Last updated
07/18/2015
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