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Organization

VOGUE RECOVERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE BOYADZHYAN (CEO)
(818) 916-8116
Entity
Organization

Contact information

Practice address
6655 W SAHARA AVE STE D208, LAS VEGAS, NV 89146-0851
(818) 916-8116
Mailing address
6655 W SAHARA AVE STE D208, LAS VEGAS, NV 89146-0851
(818) 916-8116

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8779-ADA-0
NEVADA DHS LICENSE
NV
Enumeration date
02/12/2018
Last updated
02/12/2018
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