Organization
CRESCENT ACADEMY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOBBS MBA (PRESIDENT/CEO)
(702) 445-0420
Entity
Organization
Contact information
Practice address
2535 W CHEYENNE AVE STE 104, NORTH LAS VEGAS, NV 89032-8930
(702) 202-2567
(702) 202-6919
Mailing address
5575 SIMMONS ST # 1-363, NORTH LAS VEGAS, NV 89031-9009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
NV20121029458
NV
Other
Enumeration date
04/12/2013
Last updated
07/27/2015
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