Organization
CHANGING DESTINY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMIKO L PURDIE B.S. (DIRECTOR)
(702) 234-3141
Entity
Organization
Contact information
Practice address
784 VORTEX AVE, HENDERSON, NV 89002-6545
(702) 234-3141
Mailing address
PO BOX 91693, HENDERSON, NV 89009-1693
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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