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Organization
YOUR CHOICE BEHAVIORIAL
Active
Organization
YOUR CHOICE BEHAVIORIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY CLARK (CEO)
(702) 538-9474
Entity
Organization
Contact information
Practice address
3785 E SUNSET RD, STE. A - 10, LAS VEGAS, NV 89120-6259
(702) 538-9474
Mailing address
3785 E SUNSET RD, STE. A - 10, LAS VEGAS, NV 89120-6259
(702) 538-9474
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2001065320
NV
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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