Diversified Coalition LLC

NPI #1083919328 in Las Vegas, Nevada

Provider Information

NPI Number: 1083919328
Entity Type: Organization
Organization Name: Diversified Coalition LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DIVERSIFIED COALITION LLC
Primary Specialty: Counselor
Enumeration Date: Jan 18, 2011
Last Updated: Jan 18, 2011

Practice Location

Address: 2340 PASEO DEL PRADO
Address 2: BUILDING D SUITE 206
City: Las Vegas
State: Nevada
ZIP Code: 89102-4360
Phone: (702) 485-2121

Authorized Official

Name: MS. MYRNA T PILI, MBA
Title: AUTHORIZED AGENT
Phone: (702) 569-4455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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