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528 S Casino Center Blvd Las Vegas NV 89101-6526 | |
| (336) 302-0801 | |
| (336) 824-1737 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 528 S Casino Center Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Kimesha K Spinks (CEO) |
| Authorized Official Contact | 3363020801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 157 Ramseur NC 27316-0157 Ph: (336) 302-0801 | 528 S Casino Center Blvd Las Vegas NV 89101-6526 Ph: (336) 302-0801 |
| NPI Number | 1568898161 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 09/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568898161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Nevada) | Primary |
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