DERRICK COPES

LAS VEGAS, NV
NPI1063756161
Entity TypeOrganization
Authorized ContactDERRICK COPES
Administrator
702-636-5373
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
DERRICK COPES
1230 W OWENS AVE STE 6
LAS VEGAS, NV 89106-2451
Phone number: 702-636-5373
Mailing Address
DERRICK COPES
1230 W OWENS AVE STE 6
LAS VEGAS, NV 89106-2451
Phone number: 702-636-5373