| United Front Llc | |
|
6955 N Durango Dr Ste 1115-375 Las Vegas NV 89149-4411 | |
| (281) 413-6251 | |
| Not Available |
| Full Name | United Front Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6955 N Durango Dr Ste 1115-375, Las Vegas, Nevada |
| Authorized Official Name and Position | Carl Eaton (OWNER) |
| Authorized Official Contact | 2814136251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Front Llc 6955 N Durango Dr Ste 1115-375 Las Vegas NV 89149-4411 Ph: (281) 413-6251 | United Front Llc 6955 N Durango Dr Ste 1115-375 Las Vegas NV 89149-4411 Ph: (281) 413-6251 |
| NPI Number | 1407406465 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407406465 | NPI | - | NPPES |
| 1376774711 | Medicaid | NV | |
| 1467701219 | Other | CA | ABA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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