Organization
EMANUEL LEATHERWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMANUEL LEATHERWOOD JR. (BST)
(305) 515-0701
Entity
Organization
Contact information
Practice address
5650 E SAHARA AVE, LAS VEGAS, NV 89142-2061
(305) 515-0701
Mailing address
5650 E SAHARA AVE, LAS VEGAS, NV 89142-2061
(305) 515-0701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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