Organization
1ST CLARK COUNTY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREZILDA MAE CABO (MANAGING MEMBER)
(702) 445-1196
Entity
Organization
Contact information
Practice address
1085 HWY 95 STE E, HAWTHORNE, NV 89415-7771
(702) 485-3450
Mailing address
1085 HWY 95 STE E, HAWTHORNE, NV 89415-7771
(702) 485-3450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/13/2024
Last updated
03/03/2026
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