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4000 S Eastern Ave Ste 125 Las Vegas NV 89119-0814 | |
| (702) 780-6200 | |
| (888) 433-5792 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4000 S Eastern Ave Ste 125, Las Vegas, Nevada |
| Authorized Official Name and Position | Deepa Hasija (OWNER) |
| Authorized Official Contact | 7027806200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4055 Spencer St Ste 106 Las Vegas NV 89119-5250 Ph: (702) 780-6200 | 4000 S Eastern Ave Ste 125 Las Vegas NV 89119-0814 Ph: (702) 780-6200 |
| NPI Number | 1942824941 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942824941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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