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Organization

EXODUS FAMILY & GUIDANCE COALITION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN DELCINA LEE ED.D. (OWNER)
(702) 466-4360
Entity
Organization

Contact information

Practice address
1415 S MARYLAND PKWY, LAS VEGAS, NV 89104-3311
(702) 466-4360
Mailing address
9110 W LONE MOUNTAIN RD, LAS VEGAS, NV 89129-3563
(702) 466-4360

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193400000X
NV
Enumeration date
01/30/2014
Last updated
01/30/2014
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