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2110 E Flamingo Rd Ste 205 Las Vegas NV 89119-5192 | |
| (702) 620-5105 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2110 E Flamingo Rd Ste 205, Las Vegas, Nevada |
| Authorized Official Name and Position | Deborah Bernal Perez (MANAGING MEMBER) |
| Authorized Official Contact | 7022728619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1912 Magnolia Dr Henderson NV 89014-5192 Ph: () - | 2110 E Flamingo Rd Ste 205 Las Vegas NV 89119-5192 Ph: (702) 620-5105 |
| NPI Number | 1780151415 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780151415 | NPI | - | NPPES |
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