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734 E Sahara Ave Las Vegas NV 89104-2913 | |
| (765) 537-8480 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 734 E Sahara Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Malieka D Toston (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7027141739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1810 E Sahara Ave Ste 439 Las Vegas NV 89104-3707 Ph: () - | 734 E Sahara Ave Las Vegas NV 89104-2913 Ph: (765) 537-8480 |
| NPI Number | 1487320198 |
|---|---|
| Provider Enumeration Date | 08/22/2021 |
| Last Update Date | 09/01/2021 |
| Certification Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487320198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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