Individual provider · Type 1 NPI
Marie Kalungi
Mental Illness Community Based Residential Treatment Facility · Las Vegas, NV
NPI number
1689386401
Active
Practice location
2775 W Pebble Rd Unit 501
Las Vegas, NV 89123-6564
Mailing address
5526 W Walatowa St
Laveen, AZ 85339-5497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1689386401
Marie Kalungi's National Provider Identifier is 1689386401, issued on Dec 23, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 23, 2022.