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Organization

MGA ENTERPRISES, INC.

Active
Other names
Pathways Of Nevada
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIA GREEN (VICE-PRESIDENT)
(702) 219-8788
Entity
Organization

Contact information

Practice address
2980 S RAINBOW BLVD, #220 E., LAS VEGAS, NV 89146-6531
(702) 219-8788
(702) 889-4406
Mailing address
2980 S RAINBOW BLVD, #220 E., LAS VEGAS, NV 89146-6531
(702) 219-8788
(702) 889-4406

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2001155-237
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100507843
NV
05
100507845
NV
05
100507846
NV
05
100507847
NV
05
100507848
NV
05
100508809
NV
Enumeration date
02/22/2008
Last updated
09/27/2011
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