CULTURATION INC. NPI 1255560314

NPI Information

CULTURATION INC. is a residential treatment facility emotionally disturbed children in North Las Vegas, NV. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CULTURATION INC. NPI is 1255560314. The provider is registered as an organization entity type.
The provider Is Doing Business As The Teen Spot.

The provider's business location address is:

4144 THOMAS PATRICK AVE
NORTH LAS VEGAS, NV
ZIP 89032-942
Phone: (702) 487-3095
Fax: (702) 647-3714

The provider's authorized official is Shetonya Fordham .
The authorized official title is Owner/president and has the following contact phone number (702) 574-1857.

The enumeration date for this NPI number is 7/10/2009 and was last updated on 7/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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