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Organization

NIGHT OWL CRISIS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN LEE WHITTLE (OWNER)
(725) 400-8328
Entity
Organization

Contact information

Practice address
2701 SHIELD ST, N LAS VEGAS, NV 89030-3891
(725) 400-8328
Mailing address
2701 SHIELD ST, N LAS VEGAS, NV 89030-3891
(725) 400-8328

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2600227477
NV
Enumeration date
07/16/2019
Last updated
02/20/2020
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