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Organization
ROSEMAN MEDICAL RESEARCH INSTITUTE
Active
Organization
ROSEMAN MEDICAL RESEARCH INSTITUTE
Active
Parent organization
ROSEMAN ROSEMAN MEDICAL RESEARCH INSTITUTE
Other names
Roseman Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSEMAN ROSEMAN MEDICAL RESEARCH INSTITUTE
Authorized official
KRISTINA LEE CONNOLLY (SR. EXE DEAN, FINANCE & OPERATION)
(702) 802-2878
Entity
Organization
Contact information
Practice address
1 BREAKTHROUGH WAY, LAS VEGAS, NV 89135-3011
(702) 802-2851
Mailing address
10530 DISCOVERY DR, LAS VEGAS, NV 89135-3050
(702) 802-2878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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