# ADVANCE ADDICTION TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AA Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053879247
- **Authorized official:** EDWARD GAMBOA (CEO)
- **Authorized official phone:** (702) 776-2482

## Contact information

- **Practice address:** 3130 S RAINBOW BLVD STE 304, LAS VEGAS, NV 89146-6212
- **Practice address phone:** (702) 776-2482
- **Mailing address:** 7040 LAREDO ST STE E, LAS VEGAS, NV 89117-3044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | — |
| 310500000X | Mental Illness Intermediate Care Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 03/28/2019