Organization
CREST HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNECA BECKUM (PRESIDENT/CEO)
(702) 589-3095
Entity
Organization
Contact information
Practice address
3651 LINDELL RD, D748, LAS VEGAS, NV 89103-1254
(702) 544-0355
Mailing address
3651 LINDELL RD, D748, LAS VEGAS, NV 89103-1254
(702) 589-3095
(702) 508-0931
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Enumeration date
05/18/2013
Last updated
03/05/2021
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