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3050 East Desert Inn Road, Suite 116 Obot Room #100 Las Vegas NV 89121-3872 | |
| (702) 796-0660 | |
| (702) 796-1835 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3050 East Desert Inn Road, Suite 116, Las Vegas, Nevada |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | 3050 East Desert Inn Road, Suite 116 Obot Room #100 Las Vegas NV 89121-3872 Ph: (702) 796-0660 |
| NPI Number | 1316652928 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316652928 | NPI | - | NPPES |
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