Organization
HEADSUP GUIDANCE AND WELLNESS CENTERS OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY ANN WHITE BSW (DIRECTOR OF ADMINISTRATION)
(702) 845-2939
Entity
Organization
Contact information
Practice address
340 N 11TH ST, SUITE 100, LAS VEGAS, NV 89101-3125
(702) 922-7015
(702) 922-6600
Mailing address
340 N 11TH ST, SUITE 100, LAS VEGAS, NV 89101-3125
(702) 922-7015
(702) 922-6600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1007683490
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881842953
—
NV
Enumeration date
07/02/2009
Last updated
07/02/2009
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