| Centers Group Home | |
|
5505 Tea Leaf St N Las Vegas NV 89031-2958 | |
| (702) 292-3046 | |
| Not Available |
| Full Name | Centers Group Home |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5505 Tea Leaf St, N Las Vegas, Nevada |
| Authorized Official Name and Position | J'toy Centers (OWNER) |
| Authorized Official Contact | 7022923046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centers Group Home 5505 Tea Leaf St N Las Vegas NV 89031-2958 Ph: (702) 292-3046 | Centers Group Home 5505 Tea Leaf St N Las Vegas NV 89031-2958 Ph: (702) 292-3046 |
| NPI Number | 1982994687 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982994687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | NV20111254109 (Nevada) | Primary |
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