Organization
MAPLE STAR NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREEANN M HOERNING (AR AND BILLING MANAGER)
(520) 747-6694
Entity
Organization
Contact information
Practice address
2965 S. JONES BLVD. STE. E1, LAS VEGAS, NV 89146-5606
(702) 733-8098
(702) 395-6457
Mailing address
620 N. CRAYCROFT, TUCSON, AZ 85711
(520) 747-6600
(520) 747-6613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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