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Organization

PHASES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DREANA L SWEENEY (CEO/OWNER)
(702) 612-0431
Entity
Organization

Contact information

Practice address
809 PORT VINCENT AVE, NORTH LAS VEGAS, NV 89081-2311
(702) 612-0431
Mailing address
809 PORT VINCENT AVE, NORTH LAS VEGAS, NV 89081-2311
(702) 612-0431

Taxonomy

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

Other

Enumeration date
05/19/2011
Last updated
05/19/2011
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