| NPI | 1487205761 |
|---|---|
| Doing Business As | WHEATLEY DE FORGE FOUNDATION |
| Entity Type | Organization |
| Authorized Contact | LENNY DEFORGE President 702-778-9875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2022-07-06 |