| Nevada Treatment Center Inc. | |
|
1721 East Charleston Blvd 1721 Las Vegas NV 89104 | |
| (702) 515-9680 | |
| Not Available |
| Full Name | Nevada Treatment Center Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1721 East Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Festus Ebonka (PRESIDENT) |
| Authorized Official Contact | 7025159680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Treatment Center Inc. 1721 E Charleston Blvd 1721 Las Vegas NV 89104-1902 Ph: (702) 515-9680 | Nevada Treatment Center Inc. 1721 East Charleston Blvd 1721 Las Vegas NV 89104 Ph: (702) 515-9680 |
| NPI Number | 1740738533 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740738533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | APRN000902 (Nevada) | Primary |
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