Organization
EBL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORTNEY DANDY-FRALICK LMFT-I (SECRETARY)
(702) 782-9205
Entity
Organization
Contact information
Practice address
6871 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1600
(702) 489-2117
Mailing address
6871 W CHARLESTON BLVD, LAS VEGAS, NV 89117-1600
(702) 489-2117
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
04/04/2018
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