Organization
RADICAL ELEVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HARGE CVA (OWNER)
(702) 423-2703
Entity
Organization
Contact information
Practice address
3551 E BONANZA RD STE 101, LAS VEGAS, NV 89110-2198
(702) 482-7441
Mailing address
3551 E BONANZA RD STE 101, LAS VEGAS, NV 89110-2198
(702) 482-7441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
09/23/2024
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