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5900 W Rochelle Ave Las Vegas NV 89103-3304 | |
| (702) 364-1111 | |
| (702) 251-1212 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 5900 W Rochelle Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | James Cagle (CFO) |
| Authorized Official Contact | 9019693114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5900 West Rochelle Ave Las Vegas NV 89103 Ph: (702) 364-1111 | 5900 W Rochelle Ave Las Vegas NV 89103-3304 Ph: (702) 364-1111 |
| NPI Number | 1174890487 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174890487 | NPI | - | NPPES |
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