Whalio Doctors

NPI 1003109802

Creative Collaboration

Organisation Community/Behavioral Health Agency Las Vegas, NV

Practice location

Address
8070 W Russell Rd APT 1065, Las Vegas, NV 89113-1549
Phone
(702) 610-4153

Authorised official

Name
Bonito Sahagun
Title
President
Phone
(702) 610-4153

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X

Registry record

NPI
1003109802
Entity type
Organization
NPI issued
26 May 2011
Record last updated
26 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.