Provider Demographics
NPI:1295209724
Name:A-U-2DAYS-YOUR-DAY LLC
Entity Type:Organization
Organization Name:A-U-2DAYS-YOUR-DAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:BA-PSYCHOLOGY
Authorized Official - Phone:616-881-7968
Mailing Address - Street 1:6428 SIERRA DIABLO AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-1870
Mailing Address - Country:US
Mailing Address - Phone:616-881-7968
Mailing Address - Fax:
Practice Address - Street 1:6428 SIERRA DIABLO AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-1870
Practice Address - Country:US
Practice Address - Phone:616-881-7968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)