Organization
LIFE INTERRUPTED TREATMENT, LLC
Active
Organization
LIFE INTERRUPTED TREATMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY NICOLE CAIN (OWNER)
(678) 857-6879
Entity
Organization
Contact information
Practice address
1910 FERRELL ST APT 10, LAS VEGAS, NV 89106-1254
(678) 857-6879
Mailing address
1910 FERRELL ST APT 10, LAS VEGAS, NV 89106-1254
(678) 857-6879
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
NV20161278438
NV
343900000X
Non-emergency Medical Transport (VAN)
2003291-048-122
NV
347C00000X
Private Vehicle
2105351319
NV
Other
Enumeration date
08/01/2016
Last updated
08/04/2016
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