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Organization
GOLDEN MILES
Active
Organization
GOLDEN MILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GRIFFIN (ADMINISTRATOR)
(773) 232-6383
Entity
Organization
Contact information
Practice address
400 S 4TH ST STE 300, LAS VEGAS, NV 89101-6206
(773) 232-6383
Mailing address
PO BOX 3543, OAK BROOK, IL 60522-3543
(773) 232-6383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
01/09/2025
Last updated
04/28/2025
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