Organization
NV PSYCH DOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTON SEGURA PSYD (MANAGER)
(702) 308-5114
Entity
Organization
Contact information
Practice address
2110 E FLAMINGO RD STE 321, LAS VEGAS, NV 89119-5190
(702) 308-5114
Mailing address
2110 E FLAMINGO RD STE 321, LAS VEGAS, NV 89119-5190
(702) 308-5114
(702) 829-5403
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
11/26/2018
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