Gateway Lv LLC
NPI #1508296104 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1508296104
- Entity Type
- Organization
- Organization Name
- Gateway Lv LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Nov 18, 2013
- Last Updated
- Nov 18, 2013
Practice Location
- Address
- 37 W OWENS AVE
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89030-6865
- Phone
- (702) 279-1298
Authorized Official
- Name
- JEFFREY B IVERSON
- Title
- CEO
- Phone
- (702) 279-1298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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