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Organization
MAPLE STAR NEVADA
Active
Organization
MAPLE STAR NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREEANN HOERNING (AR BILLING MANAGER)
(520) 747-6694
Entity
Organization
Contact information
Practice address
2965 S JONES BLVD STE E1, LAS VEGAS, NV 89146-5606
(702) 722-8098
(702) 395-6457
Mailing address
620 N CRAYCROFT RD, TUCSON, AZ 85711-1448
(520) 747-6694
(520) 747-6613
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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