Organization
TEMPLE OF THE LORD OUTREACH
Active
Other names
Agape House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS GRAY III (DIRECTOR)
(702) 401-9314
Entity
Organization
Contact information
Practice address
94 ANCIENT HILLS LN, HENDERSON, NV 89074-1750
(702) 401-9314
(702) 475-6845
Mailing address
94 ANCIENT HILLS LN, HENDERSON, NV 89074-1750
(702) 401-9314
(702) 465-6845
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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