MEDICARE: DRUG TREATMENT SYSTEMS, INC.

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
1	261QM2800X	Methadone Clinic

General Provider Information

NPI Number	:	1407994569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUG TREATMENT SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	1800 INDUSTRIAL RD STE 208
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2686
Country	:	US
Telephone Number	:	702-474-4104
Fax Number	:	702-474-4108

Provider Business Practice Location Address
First Line	:	1800 INDUSTRIAL RD STE 208
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2686
Country	:	US
Telephone Number	:	702-474-4104
Fax Number	:	702-474-4108

Authorized Official
Title or Position	:	FINANCIAL ASSISTANT
Name	:	MR. ALBERT R. COOK
Credential	:
Telephone Number	:	702-474-4104

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	08/22/2020

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