Organization
CREATIVE APPROACH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN LAVERNE BELL (OWNER)
(702) 232-8207
Entity
Organization
Contact information
Practice address
11489 STEPONIA BAY ST, LAS VEGAS, NV 89141-3219
(702) 232-8207
Mailing address
11489 STEPONIA BAY ST, LAS VEGAS, NV 89141-3219
(702) 232-8207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
E0094762014-2
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992127302
—
NV
Enumeration date
04/10/2014
Last updated
04/10/2014
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