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Organization

MACHUCA BEHAVIORAL HEALTH II LLC

Active
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Organization

MACHUCA BEHAVIORAL HEALTH II LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROCIO FAVELA (MANAGER)
(702) 480-6024
Entity
Organization

Contact information

Practice address
1605 S EASTERN AVE, LAS VEGAS, NV 89104-3953
(702) 480-6024
Mailing address
4323 HONEYCOMB DR, LAS VEGAS, NV 89147-4922
(702) 480-6024

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
04/20/2022
Last updated
04/20/2022
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