| Clear Choice Therapeutic Center, Llc | |
|
4079 North Rancho Drive, Suite 160 Las Vegas NV 89130 | |
| (702) 591-3055 | |
| Not Available |
| Full Name | Clear Choice Therapeutic Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4079 North Rancho Drive, Suite 160, Las Vegas, Nevada |
| Authorized Official Name and Position | Tami Vernette Bass (DIRECTOR) |
| Authorized Official Contact | 7025913055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Choice Therapeutic Center, Llc 3670 N Rancho Dr Ste 105 Las Vegas NV 89130-3192 Ph: (702) 591-3055 | Clear Choice Therapeutic Center, Llc 4079 North Rancho Drive, Suite 160 Las Vegas NV 89130 Ph: (702) 591-3055 |
| NPI Number | 1568929198 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 03/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568929198 | NPI | - | NPPES |
| NV20191164353 | Other | NV | NV SECRETARY OF STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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