Cornell Leon Jefferson - Las Vegas, NV

Cornell Leon Jefferson

Mental Illness Community Based Residential Treatment Facility in Las Vegas, Nevada

NPI 1396004263

Cornell Leon Jefferson is a Mental Illness Community Based Residential Treatment Facility based in Las Vegas, NV. Cornell Leon Jefferson practices in Las Vegas, NV. The NPI Number for Cornell Leon Jefferson is 1396004263 and holds a License No. 320800000X (Nevada).

The current practice location address for Cornell Leon Jefferson is 4915 E Russell Rd Apt 125, Las Vegas, NV and can be reached out via phone at 702-788-0091.

Location: 4915 E Russell Rd Apt 125, Las Vegas, NV, 89120-2387

NPI Number

1396004263

Provider Name

Cornell Leon Jefferson

Credential

Provider Entity Type

Individual

Gender

Male

Address

4915 E Russell Rd Apt 125, Las Vegas, NV, 89120-2387

Phone Number

702-788-0091

Fax Number

Provider Enumeration Date

05/11/2012

Last Update Date

03/09/2024

Address

4915 E Russell Rd Apt 125

City

Las Vegas

State

Nevada

Zip

89120-2387

Phone Number

702-788-0091

Fax Number

Address

4915 E Russell Rd Apt 125

City

Las Vegas

State

Nevada

Zip

89120-2387

Phone Number

702-788-0091

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

320800000X (Nevada)

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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