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2881 S Valley View Blvd Suite 11 Las Vegas NV 89102-0173 | |
| (702) 816-2777 | |
| (702) 750-2147 |
| Full Name | |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 2881 S Valley View Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Adrian Horn (PRESIDENT) |
| Authorized Official Contact | 7028162777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2881 S Valley View Blvd Suite 11 Las Vegas NV 89102-0173 Ph: (702) 816-2777 | 2881 S Valley View Blvd Suite 11 Las Vegas NV 89102-0173 Ph: (702) 816-2777 |
| NPI Number | 1598055618 |
|---|---|
| Provider Enumeration Date | 04/11/2011 |
| Last Update Date | 05/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598055618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Nevada) | Secondary |
| 251V00000X | Voluntary Or Charitable | (Nevada) | Primary |
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