Organization
ELIZABETH VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY FLETCHER (PRINCIPAL OFFICER)
(800) 772-6707
Entity
Organization
Contact information
Practice address
3067 PALACE GATE CT, LAS VEGAS, NV 89117-2536
(800) 772-6707
Mailing address
848 N RAINBOW BLVD, LAS VEGAS, NV 89107-1103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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