Organization
NEVADA PRIME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAGNE ARIELLE R DUAVE (CEO)
(702) 588-1938
Entity
Organization
Contact information
Practice address
3340 TOPAZ ST, LAS VEGAS, NV 89121-3903
(702) 588-1938
Mailing address
3340 TOPAZ ST, LAS VEGAS, NV 89121-3903
(702) 588-1938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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