| Crest Healthcare Inc. | |
|
3275 S Jones Blvd Ste 106 Las Vegas NV 89146-6768 | |
| (702) 589-3095 | |
| Not Available |
| Full Name | Crest Healthcare Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3275 S Jones Blvd Ste 106, Las Vegas, Nevada |
| Authorized Official Name and Position | Heyward Jackson (DIRECTOR) |
| Authorized Official Contact | 7025893095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crest Healthcare Inc. 3651 Lindell Rd # D748 Las Vegas NV 89103-1254 Ph: (702) 589-3095 | Crest Healthcare Inc. 3275 S Jones Blvd Ste 106 Las Vegas NV 89146-6768 Ph: (702) 589-3095 |
| NPI Number | 1306451711 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 03/05/2021 |
| Certification Date | 03/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306451711 | NPI | - | NPPES |
| 1033555958 | Medicaid | NV |
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