| Mountain Interval Llc | |
|
4425 S Jones Blvd D3 Las Vegas NV 89103-3370 | |
| (702) 991-3150 | |
| Not Available |
| Full Name | Mountain Interval Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4425 S Jones Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | David Clark (SUPERVISOR) |
| Authorized Official Contact | 7029913150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Interval Llc 4425 S Jones Blvd D3 Las Vegas NV 89103-3370 Ph: (702) 991-3150 | Mountain Interval Llc 4425 S Jones Blvd D3 Las Vegas NV 89103-3370 Ph: (702) 991-3150 |
| NPI Number | 1326461047 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326461047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | X (Nevada) | Primary |
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