Organization
K F E EMPIRE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN KING II QMHA (MANAGING MEMBER)
(480) 795-0209
Entity
Organization
Contact information
Practice address
2580 N RANCHO, STE 104 A, N LAS VEGAS, NV 89032-8903
(480) 795-0209
Mailing address
2580 N RANCHO STE 104 A, 2580 N RANCHO, N LAS VEGAS, NV 89032
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV20201745271
—
NV
Enumeration date
03/23/2020
Last updated
03/23/2020
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