Organization
MAPLE STAR NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COWAN MPA, LSW (REGIONAL DIRECTOR)
(702) 733-8098
Entity
Organization
Contact information
Practice address
1050 E FLAMINGO RD, STE S-107, LAS VEGAS, NV 89119-7427
(702) 733-8098
(702) 395-6457
Mailing address
1050 E FLAMINGO RD, STE S-107, LAS VEGAS, NV 89119-7427
(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
06/16/2011
Last updated
02/12/2013
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