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Organization

RISING STAR NEVADA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDRA JEAN CORTEZ (OWNER)
(702) 372-0346
Entity
Organization

Contact information

Practice address
8825 DUNCAN BARREL AVE UNIT 102, LAS VEGAS, NV 89178-8712
(702) 372-0346
Mailing address
8825 DUNCAN BARREL AVE UNIT 102, LAS VEGAS, NV 89178-8712
(702) 372-0346

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
11/05/2024
Last updated
11/05/2024
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