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Organization

NICHOLAS TAYLOR

Active
Other names
Basic Behavioral Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS TAYLOR (OWNER)
(702) 203-3867
Entity
Organization

Contact information

Practice address
5111 CASPIAN SPRINGS DR APT 204, LAS VEGAS, NV 89120-1155
(702) 203-3867
Mailing address
5111 CASPIAN SPRINGS DR. #204, LAS VEGAS, NV 89120
(702) 203-3867

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/14/2014
Last updated
07/14/2014
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