Organization
HORIZON RIDGE CLINIC LLC
Active
Other names
Vann-Eddins Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE EDDINS MA (CHIEF ADMINISTRATOR)
(702) 489-2889
Entity
Organization
Contact information
Practice address
1670 E FLAMINGO RD STE A, LAS VEGAS, NV 89119-5120
(702) 489-2889
(702) 780-0755
Mailing address
1670 E FLAMINGO RD STE A, LAS VEGAS, NV 89119-5120
(702) 489-2889
(702) 780-0755
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NV
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250004428
—
NV
Enumeration date
08/05/2014
Last updated
02/12/2024
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