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2780 S Jones Blvd Suite 205 Las Vegas NV 89146-5628 | |
| (702) 217-8030 | |
| (702) 537-5736 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2780 S Jones Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | James Clark Somers (PRESIDENT) |
| Authorized Official Contact | 7023498399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3315 E Russell Rd Suite A-4 #410 Las Vegas NV 89120-3459 Ph: (702) 349-8399 | 2780 S Jones Blvd Suite 205 Las Vegas NV 89146-5628 Ph: (702) 217-8030 |
| NPI Number | 1942445556 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942445556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PA658 (Nevada) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | PA658 (Nevada) | Secondary |
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