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4955 S Durango Dr #207 Las Vegas NV 89113-0152 | |
| (702) 267-6277 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children |
| Location | 4955 S Durango Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Tracy A Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7022676277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4955 S Durango Dr #207 Las Vegas NV 89113-0152 Ph: (702) 267-6277 | 4955 S Durango Dr #207 Las Vegas NV 89113-0152 Ph: (702) 267-6277 |
| NPI Number | 1952772345 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952772345 | NPI | - | NPPES |
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