Organization
WESTCARE NEVADA INC
Active
Other names
CIC LV
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN KINARD NCC,LCADC (AREA DIRECTOR)
(702) 385-2090
Entity
Organization
Contact information
Practice address
401 S MARTIN LUTHER KING BLVD, LAS VEGAS, NV 89106-4313
(702) 385-3330
(702) 385-5519
Mailing address
1711 WHITNEY MESA DR, HENDERSON, NV 89014-2080
(702) 385-2090
(702) 924-2575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508912
—
NV
05
—
100511279
—
NV
01
—
1851574305
PT17 NPI
NV
Enumeration date
07/22/2014
Last updated
07/24/2014
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