Organization
RECOVERY BASICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS A HINES (CEO)
(702) 592-1318
Entity
Organization
Contact information
Practice address
6020 KRUG ST, NORTH LAS VEGAS, NV 89081-6659
(702) 592-1318
Mailing address
6020 KRUG ST, NORTH LAS VEGAS, NV 89081-6659
(702) 592-1318
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV2123
—
NV
Enumeration date
01/07/2015
Last updated
01/07/2015
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