Whalio Doctors

NPI 1508296104

Gateway Lv LLC

Organisation Mental Illness Community Based Residential Treatment Facility North Las Vegas, NV

Practice location

Address
37 W Owens Ave, North Las Vegas, NV 89030-6865
Phone
(702) 279-1298

Authorised official

Name
Jeffrey B Iverson
Title
Ceo
Phone
(702) 279-1298

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 7756AGC-0 (NV)

Registry record

NPI
1508296104
Entity type
Organization
NPI issued
18 Nov 2013
Record last updated
18 Nov 2013

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.