Organization
BRAIN POWER MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINE HERNANDEZ (MANAGING MEMBER)
(510) 456-8143
Entity
Organization
Contact information
Practice address
3430 E FLAMINGO RD STE 104, LAS VEGAS, NV 89121-5070
(510) 456-8143
Mailing address
3430 E FLAMINGO RD STE 104, LAS VEGAS, NV 89121-5070
(510) 456-8143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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