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Organization

BOYS TOWN NEVADA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN ETZELL (EXECUTIVE DIRECTOR)
(702) 642-7070
Entity
Organization

Contact information

Practice address
6460 MEDICAL CENTER ST STE 140, LAS VEGAS, NV 89148-2420
(702) 642-7070
(702) 649-3906
Mailing address
8390 W WINDMILL LN STE 102&103, LAS VEGAS, NV 89113-4420
(702) 888-1340
(702) 888-1342

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
Primary

Other

Enumeration date
08/17/2016
Last updated
05/14/2026
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