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NPI Code Detail

MEDICARE: CORE DRUG AND ALCOHOL TREATMENT SERVICES

MEDICARE: CORE DRUG AND ALCOHOL TREATMENT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1053048280
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORE DRUG AND ALCOHOL TREATMENT SERVICES
Provider Business Mailing Address
First Line : 3831 W CHARLESTON BLVD # 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1859
Country : US
Telephone Number : 725-735-2700
Fax Number : 725-735-2702
Provider Business Practice Location Address
First Line : 3831 W CHARLESTON BLVD STE 150
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1859
Country : US
Telephone Number : 725-735-2700
Fax Number : 725-735-2702
Authorized Official
Title or Position : OWNER
Name : GRISELDA LLOYD
Credential : P.H.D.
Telephone Number : 702-756-6518
Provider Enumeration Date : 08/08/2022
Last Update Date : 01/12/2026

Similar Medicare Providers

1114881703 — TEYHA BAHE
Practice Location Address:
3831 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
89102-1859
Practice Phone: 725-735-2700
Practice Fax:
1356817597 — CORE MENTAL HEALTH SERVICES
Practice Location Address:
3831 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
89102-1859
Practice Phone: 725-735-2700
Practice Fax: 725-735-2702
1730668237 — DR. GRISELDA MARIA LLOYD PH.D.
Practice Location Address:
3831 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
89102-1859
Practice Phone: 702-756-6518
Practice Fax: 725-735-2702
1942773858 — CORE DRUG AND ALCOHOL TREATMENT SERVICES
Practice Location Address:
3831 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
89102-1859
Practice Phone: 725-735-2700
Practice Fax: 725-735-2703
1578052874 — MRS. RACHELLE JO FLOWERS MS, LMFT, LCADC
Practice Location Address:
3831 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
89102-1859
Practice Phone: 725-735-2700
Practice Fax: 725-735-2702
1356333009 — MR. THOMAS WILLIAM CHYNOWETH SR. PT
Practice Location Address:
3831 W CHARLESTON BLVD
LAS VEGAS, NV
89102-1859
Practice Phone: 702-876-1733
Practice Fax: 702-878-2018

Directions to “CORE DRUG AND ALCOHOL TREATMENT SERVICES ” Practice Location

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