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NPI Code Detail

MEDICARE: SMART START

MEDICARE: SMART START
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1649418724
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMART START
Provider Business Mailing Address
First Line : 4160 S PECOS RD STE 18
Second Line : SUITE18
City : LAS VEGAS
State : NV
Zip : 89121-5027
Country : US
Telephone Number : 702-332-8466
Fax Number :
Provider Business Practice Location Address
First Line : 4160 S PECOS RD STE 18
Second Line : SUITE18
City : LAS VEGAS
State : NV
Zip : 89121-5027
Country : US
Telephone Number : 702-332-8466
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANDREANA ROBINSON
Credential :
Telephone Number : 702-375-2861
Provider Enumeration Date : 01/28/2009
Last Update Date : 10/05/2016

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Directions to “SMART START ” Practice Location

Language Start Address Practice Location
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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