Organization
MIND AND BODY ADDICTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE PARROTT (OWNER)
(702) 353-5417
Entity
Organization
Contact information
Practice address
2655 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89146-5100
(702) 353-5417
Mailing address
2655 S RAINBOW BLVD STE 110, LAS VEGAS, NV 89146-5100
(702) 353-5417
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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