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Passport To Independence Llc
Mental Illness Community Based Residential Treatment Facility in North Las Vegas, Nevada
NPI 1891220786

Passport To Independence Llc is a Mental Illness Community Based Residential Treatment Facility based in North Las Vegas, NV. Passport To Independence Llc practices in North Las Vegas, NV. The NPI Number for Passport To Independence Llc is 1891220786 and holds a License No. (Nevada).

The current practice location address for Passport To Independence Llc is 580 W Cheyenne Ave Ste 40, North Las Vegas, NV and can be reached out via phone at 702-462-6692.

Location: 580 W Cheyenne Ave Ste 40, North Las Vegas, NV, 89030-3978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891220786
Provider Name
Passport To Independence Llc
Credential
Provider Entity Type
Organization
Address
580 W Cheyenne Ave Ste 40, North Las Vegas, NV, 89030-3978
Phone Number
702-462-6692
Fax Number
Provider Enumeration Date
04/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
580 W Cheyenne Ave Ste 40
City
North Las Vegas
State
Nevada
Zip
89030-3978
Phone Number
702-462-6692
Fax Number
person
Provider Business Mailing Address Details
Address
580 W Cheyenne Ave Ste 40
City
North Las Vegas
State
Nevada
Zip
89030-3978
Phone Number
702-462-6692
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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