Organization
TRAC-B EXCHANGE LLC
Active
Other names
Trac-B xchange
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHELSI CHEATOM (PROGRAM MANAGER)
(702) 840-6693
Entity
Organization
Contact information
Practice address
6114 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1127
(702) 840-6693
Mailing address
6540 BRADLEY RD, LAS VEGAS, NV 89131-2913
(702) 840-6693
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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