Organization
MAPLE STAR NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE DUFAULT (STATE DIRECTOR)
(702) 252-8342
Entity
Organization
Contact information
Practice address
2725 E DESERT INN RD STE 180, LAS VEGAS, NV 89121-3627
(702) 733-8098
(702) 395-6457
Mailing address
2725 E DESERT INN RD STE 180, LAS VEGAS, NV 89121-3627
(702) 733-8098
(702) 395-6457
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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