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Organization

WESTCARE NEVADA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN A JENKINS (COO)
(702) 385-2090
Entity
Organization

Contact information

Practice address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 853-3330
(702) 924-2575
Mailing address
1711 WHITNEY MESA DR, HENDERSON, NV 89014-2080
(702) 385-2090
(702) 924-2575

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
324500000X
Substance Abuse Rehabilitation Facility
N35000041112243
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100508912
NV
05
100511279
NV
Enumeration date
12/06/2007
Last updated
05/20/2024
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