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NPI Code Detail

MEDICARE: CENTER FOR BEHAVIORAL HEALTH LAS VEGAS LLC

MEDICARE: CENTER FOR BEHAVIORAL HEALTH LAS VEGAS LLC
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
1261QM2800XMethadone Clinic2569NTC-13NV

General Provider Information

NPI Number : 1215235213
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR BEHAVIORAL HEALTH LAS VEGAS LLC
Provider Business Mailing Address
First Line : 5001 SPRING VALLEY ROAD
Second Line : SUITE 600 EAST
City : DALLAS
State : TX
Zip : 75244-0897
Country : US
Telephone Number : 214-365-6100
Fax Number : 214-365-6150
Provider Business Practice Location Address
First Line : 3050 E DESERT INN RD STE 116
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-3872
Country : US
Telephone Number : 208-367-9021
Fax Number :
Authorized Official
Title or Position : CEO
Name : JAY HIGHAM
Credential :
Telephone Number : 214-365-6100
Provider Enumeration Date : 03/01/2011
Last Update Date : 12/26/2024

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Directions to “CENTER FOR BEHAVIORAL HEALTH LAS VEGAS LLC ” Practice Location

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