Organization
HEROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEDRA WHITE (OWNER)
(318) 514-9543
Entity
Organization
Contact information
Practice address
2950 E FLAMINGO RD STE B, LAS VEGAS, NV 89121-5208
(702) 586-9674
Mailing address
2950 E FLAMINGO RD STE B, LAS VEGAS, NV 89121-5208
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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