NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1154748127 |   |   |   | MISSION TREATMENT CENTERS, INC. | 6183 PASEO DEL NORTE, STE 200 | CARLSBAD | CA | 920111155 |
1841797727 | LEDFORD | ASHLEY |   |   | 1536 N BOULDER HWY | HENDERSON | NV | 890114120 |
1396218699 | PONDER | BEVERLY |   |   | 1536 N BOULDER HWY | HENDERSON | NV | 890114120 |
1164991931 | PRINCE | WADE | HOWARD |   | 1536 N BOULDER HWY | HENDERSON | NV | 890114120 |
1972844587 | TAIT | KARROL |   |   | 704 W SUNSET RD | HENDERSON | NV | 890114633 |