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2330 Paseo Del Prado Ste C105 Las Vegas NV 89102-4336 | |
| (570) 203-9222 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2330 Paseo Del Prado Ste C105, Las Vegas, Nevada |
| Authorized Official Name and Position | Melissa Marshall (DIRECTOR, BILLING & COLLECTIONS) |
| Authorized Official Contact | 5702039222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
512 Northampton St # 158 Edwardsville PA 18704-4560 Ph: (570) 203-9222 | 2330 Paseo Del Prado Ste C105 Las Vegas NV 89102-4336 Ph: (570) 203-9222 |
| NPI Number | 1336869320 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336869320 | NPI | - | NPPES |
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