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Organization

STEADFAST BEHAVIORAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MA VICTORIA ESCARDA APRN (MANAGING MEMBER)
(323) 338-6101
Entity
Organization

Contact information

Practice address
8612 COPPER KNOLL AVE, LAS VEGAS, NV 89129-7649
(323) 338-6101
Mailing address
8612 COPPER KNOLL AVE, LAS VEGAS, NV 89129-7649
(323) 338-6101

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/21/2020
Last updated
09/21/2020
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