Organization
VEGAS TREATMENT CENTER
Active
Other names
Vegas Treatment Centeer, Methadone Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM M NIKOGOSYAN (PROGRAM DIRECTOR)
(702) 463-7719
Entity
Organization
Contact information
Practice address
2121 E FLAMINGO RD STE 218, LAS VEGAS, NV 89119-5124
(818) 441-1049
Mailing address
2121 E FLAMINGO RD STE 218, LAS VEGAS, NV 89119-5124
(818) 441-1049
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE AT THIS TIME
—
Enumeration date
05/20/2021
Last updated
02/06/2024
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