Organization
OLIVE BRANCH MENTORING
Active
Organization
OLIVE BRANCH MENTORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIAIJAH S FELTUS-WIMBERLY (OWNER)
(702) 738-9589
Entity
Organization
Contact information
Practice address
5548 AYERS CLIFF STREET, NORTH LAS VEGAS, NV 89081
(702) 738-9589
Mailing address
5548 AYERS CLIFF ST, NORTH LAS VEGAS, NV 89081-2462
(702) 738-9589
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20171578899
NV
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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