| Abraxas Center Llc | |
|
4575 W Cougar Ave Ste 300 Las Vegas NV 89139-7617 | |
| (702) 412-8405 | |
| Not Available |
| Full Name | Abraxas Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4575 W Cougar Ave Ste 300, Las Vegas, Nevada |
| Authorized Official Name and Position | Jenny Casino (CO-FOUNDER) |
| Authorized Official Contact | 7024128405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abraxas Center Llc 4262 Blue Diamond Rd # 102-105 Las Vegas NV 89139-7789 Ph: (702) 412-8405 | Abraxas Center Llc 4575 W Cougar Ave Ste 300 Las Vegas NV 89139-7617 Ph: (702) 412-8405 |
| NPI Number | 1013548817 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013548817 | NPI | - | NPPES |
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