Organization
NEVADA TREATMENT CENTER INC.
Active
Parent organization
NEVADA CARE CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA CARE CENTER INC
Authorized official
MR. FESTUS EBONKA NP (PRESIDENT)
(702) 515-9680
Entity
Organization
Contact information
Practice address
1721 EAST CHARLESTON BLVD, 1721, LAS VEGAS, NV 89104
(702) 515-9680
Mailing address
1721 E CHARLESTON BLVD, 1721, LAS VEGAS, NV 89104-1902
(702) 515-9680
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APRN000902
NV
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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