Organization
KOU OLAKINO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS IGARTA (PRESIDENT)
(808) 699-8369
Entity
Organization
Contact information
Practice address
10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145-8872
(808) 699-8369
(858) 430-9611
Mailing address
10161 PARK RUN DR STE 150, LAS VEGAS, NV 89145-8872
(808) 699-8369
(858) 430-9611
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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