Organization
MACHUCA BEHAVIORAL HEALTH II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCIO FAVELA (MANAGER)
(702) 480-6024
Entity
Organization
Contact information
Practice address
1605 S EASTERN AVE, LAS VEGAS, NV 89104-3953
(702) 480-6024
Mailing address
4323 HONEYCOMB DR, LAS VEGAS, NV 89147-4922
(702) 480-6024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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