Super Youth of Nevada
NPI #1174895890 in Las Vegas, Nevada
Provider Information
- NPI Number
- 1174895890
- Entity Type
- Organization
- Organization Name
- Super Youth of Nevada
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Jan 27, 2012
- Last Updated
- Apr 11, 2012
Practice Location
Authorized Official
- Name
- MR. DEMETRIUS JEMIL HUNTER
- Title
- MANAGER
- Phone
- (702) 748-1508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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