Organization
ACADEMICS & ATHLETICS CONNECTION/LVSTARS, INC.
Active
Parent organization
ACADEMICS AND ATHLETICS CONNECTION
Other names
Academics and Athletics Connection Behavioral Health Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACADEMICS AND ATHLETICS CONNECTION
Authorized official
MR. THOMAS MCTYER (DIRECTOR)
(702) 834-0794
Entity
Organization
Contact information
Practice address
1324 ROBIN ST, LAS VEGAS, NV 89106-1951
(702) 834-0794
Mailing address
1324 ROBIN ST, LAS VEGAS, NV 89106-1951
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093016727
—
NV
Enumeration date
08/26/2013
Last updated
08/26/2013
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