Organization
SECOND CHANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHOGANY J BOYD (OWNER)
(702) 809-0993
Entity
Organization
Contact information
Practice address
1428 DESERT RIDGE AVE, NORTH LAS VEGAS, NV 89031-5003
(702) 809-0993
Mailing address
1428 DESERT RIDGE AVE, NORTH LAS VEGAS, NV 89031-5003
(702) 809-0993
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20161565425
NV
Other
Enumeration date
09/24/2016
Last updated
09/24/2016
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