| Cplc Nevada, Inc. | |
|
1380 Us Highway 395 N Gardnerville NV 89410-5200 | |
| (833) 240-9017 | |
| Not Available |
| Full Name | Cplc Nevada, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1380 Us Highway 395 N, Gardnerville, Nevada |
| Authorized Official Name and Position | Andres Contreras (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 6022570700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cplc Nevada, Inc. 4070 N Martin L King Blvd N Las Vegas NV 89032-3214 Ph: () - | Cplc Nevada, Inc. 1380 Us Highway 395 N Gardnerville NV 89410-5200 Ph: (833) 240-9017 |
| NPI Number | 1942871702 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 07/02/2021 |
| Certification Date | 07/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942871702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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