Organization
A BRIGHTER PERSPECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE F WILLIAMS BS, MS. PHD, (CEO)
(310) 855-2537
Entity
Organization
Contact information
Practice address
1212 BUEHLER DR, LAS VEGAS, NV 89102-2128
(310) 855-2537
Mailing address
1212 BUEHLER DR, LAS VEGAS, NV 89102-2128
(310) 855-2537
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181243235
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912403171
—
NV
Enumeration date
04/06/2018
Last updated
04/06/2018
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