Organization
G- F I T LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L GREEN AO, CFO. (MANAGEMENT, CFO)
(310) 920-8632
Entity
Organization
Contact information
Practice address
8534 INSIGNIA AVE UNIT 102, LAS VEGAS, NV 89178-8645
(310) 920-8632
Mailing address
8534 INSIGNIA AVE UNIT 102, LAS VEGAS, NV 89178-8645
(310) 920-8632
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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