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Organization
BACK ON TRACK HEALTH SERVICES INC
Active
Organization
BACK ON TRACK HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE CHAVEZ (PRESIDENT)
(702) 379-8926
Entity
Organization
Contact information
Practice address
2780 S JONES BLVD STE 2003120, LAS VEGAS, NV 89146-5628
(702) 379-8926
Mailing address
2780 S JONES BLVD STE 2003120, LAS VEGAS, NV 89146-5628
(702) 379-8926
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
NV20181391287
NV
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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