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4144 Wheatleigh Ct Las Vegas NV 89115-8228 | |
| (702) 410-4451 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4144 Wheatleigh Ct, Las Vegas, Nevada |
| Authorized Official Name and Position | Charquinta Y Griley (CO OWNER) |
| Authorized Official Contact | 7024104451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4144 Wheatleigh Ct Las Vegas NV 89115-8228 Ph: (702) 410-4451 | 4144 Wheatleigh Ct Las Vegas NV 89115-8228 Ph: (702) 410-4451 |
| NPI Number | 1942797709 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942797709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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