Organization
CLEAR CHOICE THERAPEUTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI VERNETTE BASS (DIRECTOR)
(702) 591-3055
Entity
Organization
Contact information
Practice address
4079 NORTH RANCHO DRIVE, SUITE 160, LAS VEGAS, NV 89130
(702) 591-3055
Mailing address
3670 N RANCHO DR STE 105, LAS VEGAS, NV 89130-3192
(702) 591-3055
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20191164353
NV SECRETARY OF STATE
NV
Enumeration date
03/01/2019
Last updated
03/01/2019
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