| Grace Ranch | |
|
7729 Maverick St Las Vegas NV 89131-2113 | |
| (702) 370-8912 | |
| Not Available |
| Full Name | Grace Ranch |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7729 Maverick St, Las Vegas, Nevada |
| Authorized Official Name and Position | Susan Hardenbrook (OWNER) |
| Authorized Official Contact | 7023708912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Ranch 7729 Maverick St Las Vegas NV 89131-2113 Ph: (702) 370-8912 | Grace Ranch 7729 Maverick St Las Vegas NV 89131-2113 Ph: (702) 370-8912 |
| NPI Number | 1255676011 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 12/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255676011 | NPI | - | NPPES |
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