Sanctuary Treatment Center Pllc | |
9017 S Pecos Rd Ste 4550 Henderson NV 89074-6621 | |
(602) 768-6704 | |
(325) 289-6197 |
Full Name | Sanctuary Treatment Center Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 9017 S Pecos Rd Ste 4550, Henderson, Nevada |
Authorized Official Name and Position | Qingchuan Wang (COO & CFO) |
Authorized Official Contact | 6027686706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sanctuary Treatment Center Pllc 9017 S Pecos Rd Ste 4550 Henderson NV 89074-6621 Ph: (725) 225-2649 | Sanctuary Treatment Center Pllc 9017 S Pecos Rd Ste 4550 Henderson NV 89074-6621 Ph: (602) 768-6704 |
NPI Number | 1124728852 |
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Provider Enumeration Date | 03/10/2023 |
Last Update Date | 04/03/2023 |
Certification Date | 04/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124728852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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