Organization
THERE & BACK RECOVERY SERVICES, LLC
Active
Organization
THERE & BACK RECOVERY SERVICES, LLC
Active
Other names
There & Back Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
MALIEKA D TOSTON LADC (EXECUTIVE DIRECTOR)
(702) 714-1739
Entity
Organization
Contact information
Practice address
734 E SAHARA AVE, LAS VEGAS, NV 89104-2913
(765) 537-8480
Mailing address
1810 E SAHARA AVE STE 439, LAS VEGAS, NV 89104-3707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2021
Last updated
09/01/2021
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