Organization
CAPISTRANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARD KENT SWALLOW PH.D. (PRESIDENT)
(702) 481-4776
Entity
Organization
Contact information
Practice address
2775 S JONES BLVD STE 101, LAS VEGAS, NV 89146-5632
(702) 685-3000
Mailing address
2775 S JONES BLVD STE 101, LAS VEGAS, NV 89146-5632
(702) 685-3000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
07/09/2025
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