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3130 S Rainbow Blvd Ste 304 Las Vegas NV 89146-6212 | |
| (702) 776-2482 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3130 S Rainbow Blvd Ste 304, Las Vegas, Nevada |
| Authorized Official Name and Position | Edward Gamboa (CEO) |
| Authorized Official Contact | 7027762482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7040 Laredo St Ste E Las Vegas NV 89117-3044 Ph: () - | 3130 S Rainbow Blvd Ste 304 Las Vegas NV 89146-6212 Ph: (702) 776-2482 |
| NPI Number | 1053879247 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053879247 | NPI | - | NPPES |
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