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6171 W Charleston Blvd Bldg. #7 Las Vegas NV 89146-1126 | |
| (702) 486-6100 | |
| (702) 486-6057 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6171 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Jeff Morrow (ADMINISTRATIVE SERVICES OFFICER) |
| Authorized Official Contact | 7024866100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6171 W Charleston Blvd Bldg. #7 Las Vegas NV 89146-1126 Ph: (702) 486-6100 | 6171 W Charleston Blvd Bldg. #7 Las Vegas NV 89146-1126 Ph: (702) 486-6100 |
| NPI Number | 1306041371 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306041371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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