Organization
ROSE GARDEN
Active
Organization
ROSE GARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANNE ELLEEN PORTER (BAHAVIORAL ANALYST)
(702) 517-0817
Entity
Organization
Contact information
Practice address
1109 EMERYWOOD CT, UNIT D, LAS VEGAS, NV 89117-9041
(702) 517-0817
Mailing address
1109 EMERYWOOD CT APT D, LAS VEGAS, NV 89117-9041
(702) 517-0817
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
09/19/2013
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