# DR MIRIAM & SHELDON G ADELSON CLINIC OF DRUG ABUSE TREATMENT & RESEARC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588703698
- **Authorized official:** MRS. SHIRLEY LINZY RN MS (CLINIC DIRECTOR)
- **Authorized official phone:** (702) 735-7900

## Contact information

- **Practice address:** 3661 S MARYLAND PKWY, SUITE 64, LAS VEGAS, NV 89169
- **Practice address phone:** (702) 735-0081
- **Mailing address:** 3661 S MARYLAND PKWY, SUITE 64, LAS VEGAS, NV 89169
- **Mailing address phone:** (702) 735-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | 2583NTC8 | NV | — |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | RA0254209 | NV | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 09/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01702160 | — | NV |
