Healthcare Provider Details

I. General information

NPI: 1609200161
Provider Name (Legal Business Name): CULTURAL ARTS TRAINING FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2013
Last Update Date: 09/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6368 W SAHARA AVE
LAS VEGAS NV
89146-3050
US

IV. Provider business mailing address

8550 W DESERT INN RD # 102-280
LAS VEGAS NV
89117-4401
US

V. Phone/Fax

Practice location:
  • Phone: 702-335-0020
  • Fax:
Mailing address:
  • Phone: 702-335-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LANCE PARVIN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 609-217-7385