Organization
HILLSTONE THERAPEUTIC TEAM OF NEVADA
Active
Organization
HILLSTONE THERAPEUTIC TEAM OF NEVADA
Active
Other names
HillStone
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIQUE BLAKE BASS N/A (DIRECTOR)
(702) 300-0816
Entity
Organization
Contact information
Practice address
2971 N GATEWAY RD, LAS VEGAS, NV 89115-7452
(702) 982-8398
(702) 982-8398
Mailing address
2971 N GATEWAY RD, LAS VEGAS, NV 89115-7452
(702) 982-8398
(702) 982-8398
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20131697710
NV
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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