Organization
A NEW SUNRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVINO MOORE (OWNER)
(702) 526-0066
Entity
Organization
Contact information
Practice address
2009 SUMMER LILY AVE, NORTH LAS VEGAS, NV 89081-2686
(702) 526-0066
Mailing address
2009 SUMMER LILY AVE, NORTH LAS VEGAS, NV 89081-2686
(702) 526-0066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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