Organization
AVENUES 2 SUCCESS
Active
Organization
AVENUES 2 SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNIKA COLBERT (OWNER)
(310) 429-1453
Entity
Organization
Contact information
Practice address
9520 CHANTICLEER CT, LAS VEGAS, NV 89129-7858
(310) 429-1453
Mailing address
9250 CHANTICLEER COURT, LAS VEGAS, NV 89129
(310) 429-1453
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
04/17/2018
Last updated
11/13/2018
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