Organization
WESTCARE NEVADA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MANGUM (ASSISTANT DIRECTOR OF BILLING)
(702) 385-2090
Entity
Organization
Contact information
Practice address
2501 N GREEN VALLEY PKWY STE 117-119, HENDERSON, NV 89014-0273
(702) 530-8998
(702) 547-6786
Mailing address
PO BOX 94738, LAS VEGAS, NV 89193-4738
(702) 385-2090
(702) 924-2575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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