Organization
MAPLE STAR NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MAJ MC (REGIONAL DIRECTOR)
(702) 733-8098
Entity
Organization
Contact information
Practice address
1050 E FLAMINGO RD, STE S-107, LAS VEGAS, NV 89119
(702) 733-8098
Mailing address
1050 E FLAMINGO RD, STE S-107, LAS VEGAS, NV 89119
(702) 733-8098
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508094
—
NV
Enumeration date
02/12/2007
Last updated
10/30/2014
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