Organization
CLOUDSKYWEST
Active
Other names
Life on Track Transition Centers
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MASON (MANAGING DIRECTOR)
(702) 333-0021
Entity
Organization
Contact information
Practice address
8455 S EASTERN AVE, LAS VEGAS, NV 89123
(702) 333-0021
(702) 386-6874
Mailing address
8455 S EASTERN AVE, LAS VEGAS, NV 89123-2894
(702) 333-0021
(702) 386-6874
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
10/25/2019
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