Organization
CGL GROUP CORP
Active
Organization
CGL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN CASTANEDA (PRESIDENT)
(917) 496-8000
Entity
Organization
Contact information
Practice address
1900 ELIMINATOR DR, LAS VEGAS, NV 89146-1136
(702) 823-3553
(702) 823-3553
Mailing address
1900 ELIMINATOR DR, LAS VEGAS, NV 89146-1136
(702) 823-3553
(702) 823-3553
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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