Organization
ALL LIVES MATTER HEALTH & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEGRITA MAPLES (MANAGER)
(702) 790-4932
Entity
Organization
Contact information
Practice address
800 N RAINBOW BLVD STE 218, LAS VEGAS, NV 89107-1189
(702) 205-0322
Mailing address
800 N RAINBOW BLVD STE 218, LAS VEGAS, NV 89107-1189
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218
—
NV
Enumeration date
08/16/2022
Last updated
10/05/2023
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