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9401 Darwell Dr Las Vegas NV 89117-0420 | |
| (702) 540-9700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9401 Darwell Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Cynthia Randle (DIRECTOR) |
| Authorized Official Contact | 7025409700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 752482 Las Vegas NV 89136-2482 Ph: (702) 540-9700 | 9401 Darwell Dr Las Vegas NV 89117-0420 Ph: (702) 540-9700 |
| NPI Number | 1902325871 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902325871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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