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NPI Code Detail

MEDICARE: UNIVERSAL BEHAVIORAL TREATMENT CENTER

MEDICARE: UNIVERSAL BEHAVIORAL TREATMENT CENTER
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000OTHERN/A

General Provider Information

NPI Number : 1275136616
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL BEHAVIORAL TREATMENT CENTER
Provider Business Mailing Address
First Line : 400 S 4TH ST STE 503
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 S 4TH ST STE 503
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6201
Country : US
Telephone Number : 818-371-3703
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : HILDA LAFERLA
Credential :
Telephone Number : 818-371-3703
Provider Enumeration Date : 11/18/2020
Last Update Date : 11/18/2020

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Directions to “UNIVERSAL BEHAVIORAL TREATMENT CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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