Organization
FREEDOM HOUSE SOBER LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BRIAN IVERSON (CEO)
(702) 279-1298
Entity
Organization
Contact information
Practice address
3852 PALOS VERDES ST, SUITE 40, LAS VEGAS, NV 89119-6909
(702) 485-1300
(702) 485-1210
Mailing address
3852 PALOS VERDES ST, SUITE 40, LAS VEGAS, NV 89119-6909
(702) 485-1300
(702) 485-1210
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
324500000X
NV
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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