Healthcare Provider Details

I. General information

NPI: 1407994569
Provider Name (Legal Business Name): DRUG TREATMENT SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 INDUSTRIAL RD STE 208
LAS VEGAS NV
89102-2686
US

IV. Provider business mailing address

1800 INDUSTRIAL RD STE 208
LAS VEGAS NV
89102-2686
US

V. Phone/Fax

Practice location:
  • Phone: 702-474-4104
  • Fax: 702-474-4108
Mailing address:
  • Phone: 702-474-4104
  • Fax: 702-474-4108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State

VIII. Authorized Official

Name: MR. ALBERT R. COOK
Title or Position: FINANCIAL ASSISTANT
Credential:
Phone: 702-474-4104