Organization
CENTURY ADDICTION TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ROBERT GATICALES APN (OWNER)
(702) 292-4657
Entity
Organization
Contact information
Practice address
1771 E FLAMINGO RD STE 111B, LAS VEGAS, NV 89119-0851
(725) 777-3440
Mailing address
1771 E FLAMINGO RD STE 111B, LAS VEGAS, NV 89119-0851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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