Organization
M.I.A. PATHWAYS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WILLIAMS (OWNER)
(210) 683-9747
Entity
Organization
Contact information
Practice address
848 N RAINBOW BLVD # 2012, LAS VEGAS, NV 89107-1103
(702) 805-9977
Mailing address
848 N RAINBOW BLVD # 2012, LAS VEGAS, NV 89107-1103
(702) 805-9977
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181145226
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV0001
—
NV
Enumeration date
02/28/2018
Last updated
02/28/2018
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