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General NPI Number Information
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NPI Number | 1053048280
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Entity Type | Organization
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Legal Business Name | CORE DRUG AND ALCOHOL TREATMENT SERVICES
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3831 W CHARLESTON BLVD STE 150
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City | LAS VEGAS
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State | NV
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Zip | 89102-1859
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Country | US
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Telephone | 725-735-2700
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Fax | 725-735-2702
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Provider Business Mailing Address
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Address Line | 3831 W CHARLESTON BLVD # 150
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City | LAS VEGAS
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State | NV
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Zip | 89102-1859
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Country | US
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Telephone | 725-735-2700
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Fax | 725-735-2702
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Authorized Official
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Title or Position | OWNER
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Name | GRISELDA LLOYD
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Credential | P.H.D.
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Telephone | 702-756-6518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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