| Maple Star Nevada | |
|
2090 Seattle Shore St Las Vegas NV 89115-5227 | |
| (678) 361-1979 | |
| (702) 431-3512 |
| Full Name | Maple Star Nevada |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2090 Seattle Shore St, Las Vegas, Nevada |
| Authorized Official Name and Position | Charles Richard Trimble (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7027338098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Star Nevada 2090 Seattle Shore St Las Vegas NV 89115-5227 Ph: (678) 361-1979 | Maple Star Nevada 2090 Seattle Shore St Las Vegas NV 89115-5227 Ph: (678) 361-1979 |
| NPI Number | 1114159787 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 08/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114159787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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