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Organization

IT'S OK 2 B DIFFERENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TINA RANE BURSE (CEO/FOUNDER)
(702) 980-9050
Entity
Organization

Contact information

Practice address
2007 RAIN STORM CT, NORTH LAS VEGAS, NV 89032-4857
(702) 980-9050
Mailing address
2007 RAIN STORM CT, NORTH LAS VEGAS, NV 89032-4857
(702) 980-9050

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/08/2015
Last updated
08/16/2016
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