Healthcare Provider Details
I. General information
NPI: 1245650969
Provider Name (Legal Business Name): CONSERVATORY OF HOPE TREATMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2014
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3227 E WARM SPRINGS RD STE 300
LAS VEGAS NV
89120-3180
US
IV. Provider business mailing address
3227 E WARM SPRINGS RD STE 300
LAS VEGAS NV
89120-3180
US
V. Phone/Fax
- Phone: 702-222-0034
- Fax: 702-222-0659
- Phone: 702-222-0034
- Fax: 702-222-0659
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMBER
CECILE
GALBRAITH
Title or Position: CEO
Credential: MS MFT
Phone: 702-222-0034