OrganizationActive
Life Interrupted Treatment, LLC
NPI 1902359417 · Early Intervention Provider Agency · Las Vegas, NV
Provider details
- NPI number
- 1902359417
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ashley Cain, Owner(678) 857-6879
- License
- 2003291-048-122 (NV)
Specialties & taxonomies
Agencies
Transportation Services
Transportation Services
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
1910 Ferrell St Apt 10
Las Vegas, NV 89106-1254
Phone: (678) 857-6879
Approximate (ZIP-level) locationGet directions
Mailing address
1910 Ferrell St Apt 10
Las Vegas, NV 89106-1254
Registry dates
- Enumerated
- 2016-08-01
- Last updated
- 2016-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.