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Organization

SILVER STATE ADOLESCENT & TREATMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TER-HOVHANNISYAN EDGAR (CEO)
(818) 928-0038
Entity
Organization

Contact information

Practice address
8225 W ROBINDALE RD, LAS VEGAS, NV 89113-3701
(818) 928-0038
Mailing address
5850 CANOGA AVE STE 130, WOODLAND HILLS, CA 91367-6750

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
01/31/2025
Last updated
01/31/2025
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