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3017 W Charleston Blvd Ste 70 Las Vegas NV 89102-1928 | |
| (702) 823-3910 | |
| (702) 823-1313 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3017 W Charleston Blvd Ste 70, Las Vegas, Nevada |
| Authorized Official Name and Position | Cynthia Castillo (DIRECTOR) |
| Authorized Official Contact | 7028233910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3017 W Charleston Blvd Ste 70 Las Vegas NV 89102-1928 Ph: (702) 823-3910 | 3017 W Charleston Blvd Ste 70 Las Vegas NV 89102-1928 Ph: (702) 823-3910 |
| NPI Number | 1598100786 |
|---|---|
| Provider Enumeration Date | 05/02/2013 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598100786 | NPI | - | NPPES |
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