Organization
CYCLES OF CHANGE RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH HUNTER (OPERATION MANAGER)
(818) 497-8177
Entity
Organization
Contact information
Practice address
6069 S FORT APACHE RD STE 130, LAS VEGAS, NV 89148-5579
(702) 749-5913
Mailing address
6069 S FORT APACHE RD STE 130, LAS VEGAS, NV 89148-5579
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
NV20171772492
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20171772492
NEVADA DIVISION OF PUBLIC AND BEHAVIORAL HEALTH SUBSTANCE ABUSE PREVENTION
NV
Enumeration date
04/05/2018
Last updated
06/16/2018
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