Organization
I.C.A.N. FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MOLLER (OWNER/MANAGING MEMBER)
(718) 360-3611
Entity
Organization
Contact information
Practice address
2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128-1404
(702) 291-2151
Mailing address
8022 S RAINBOW BLVD STE 318, LAS VEGAS, NV 89139-6477
(718) 360-3611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225400000X
Rehabilitation Practitioner
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
10/12/2019
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