Organization
ANGELIC HEALTH TREATMENT CENTER LLC
Active
Organization
ANGELIC HEALTH TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL ROMERO (OWNER)
(702) 738-2482
Entity
Organization
Contact information
Practice address
3950 S EASTERN AVE STE 100, LAS VEGAS, NV 89119-5174
(702) 738-2482
Mailing address
1233 HEALING WATERS LN, N LAS VEGAS, NV 89031-1810
(702) 738-2482
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B14820541
—
AZ
Enumeration date
03/19/2018
Last updated
03/19/2018
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