| |
2001 S Jones Blvd Ste J Las Vegas NV 89146-3165 | |
(702) 848-7345 | |
Not Available |
Full Name | |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 2001 S Jones Blvd Ste J, Las Vegas, Nevada |
Authorized Official Name and Position | Anshel Indig (ADMINISTRATOR) |
Authorized Official Contact | 7028487345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2001 S Jones Blvd Ste J Las Vegas NV 89146-3165 Ph: () - | 2001 S Jones Blvd Ste J Las Vegas NV 89146-3165 Ph: (702) 848-7345 |
NPI Number | 1902544695 |
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Provider Enumeration Date | 05/23/2022 |
Last Update Date | 01/20/2023 |
Certification Date | 01/20/2023 |
Identifier | Type | State | Issuer |
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1902544695 | NPI | - | NPPES |
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