Organization
EAGLE QUEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DOYLE (DIRECTOR OF OPERATIONS)
(702) 646-5437
Entity
Organization
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 646-5437
(702) 228-8248
Mailing address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 646-5437
(702) 228-8248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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