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Organization
NEVADA TREATMENT CENTER
Active
Organization
NEVADA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE PAYNE (CEO)
(702) 382-4226
Entity
Organization
Contact information
Practice address
1721 EAST CHARLESTON, LAS VEGAS, NV 89104
(702) 382-4226
(702) 382-4031
Mailing address
1721 EAST CHARLESTON, LAS VEGAS, NV 89104
(702) 382-4226
(702) 382-4031
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
2567NTC-13
NV
324500000X
Substance Abuse Rehabilitation Facility
RCE004-457
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001702100
—
NV
Enumeration date
10/16/2006
Last updated
04/17/2009
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