Organization
CIRCLE MEETS SQUARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA ANGELA MIRANDA M.S, LADC, CPC, NCC, (OWNER)
(702) 204-3609
Entity
Organization
Contact information
Practice address
1334 S MARYLAND PKWY, LAS VEGAS, NV 89104-3310
(702) 204-3609
Mailing address
1334 S MARYLAND PKWY, LAS VEGAS, NV 89104-3310
(702) 204-3609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CPC 0049
NV
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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