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Organization

BESPOKE TREATMENT LLC

Active
Parent organization
BESPOKE TREATMENT LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BESPOKE TREATMENT LLC
Authorized official
MS. THI HOANG (BUSINESS OFFICE REPRESENTATIVE)
(702) 205-8232
Entity
Organization

Contact information

Practice address
2820 W CHARLESTON BLVD STE 38, LAS VEGAS, NV 89102-1934
(833) 867-2329
(833) 867-3757
Mailing address
12381 WILSHIRE BLVD STE 205, LOS ANGELES, CA 90025-1063
(833) 867-2329
(833) 867-3757

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
12/27/2022
Last updated
12/27/2022
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