Henderson Substance Abuse Treatment Center

NPI 1053688283 - Counselor - 101YA0400X

NPI Details
NPI 1053688283
Enumeration Date 11/16/2011
Last Updated 05/20/2014
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LYNETTE LYNETTE
Position OWNER/COUNSELOR
Phone (702) 565-6060
Fax (702) 565-6097
Practice Location
2 IDAHO WAY
HENDERSON NV, 89015-7209, US
Phone (702) 565-6060
Fax (702) 565-6097
Business Location
2 IDAHO WAY
HENDERSON NV, 89015-7209, US
Phone (702) 565-6060
Fax (702) 565-6097
Toxanomy
Taxonomy Code 101YA0400X
License State Nevada
License Number 00309-C
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According to our database, Henderson Substance Abuse Treatment Center NPI is 1053688283, taxonomy code is 101YA0400X and license number is 00309-C, license state is located at Nevada. Henderson Substance Abuse Treatment Center physically located at 2 Idaho Way, Henderson NV, 89015-7209. NPI Number 1033115704 has the healthcare provider type.

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1053688283 NPI number is provided on an as is basis without warranty of any kind. 1053688283 is maintained by the National Plan & Provider Enumeration System. The contents of Henderson Substance Abuse Treatment Center are for informational purposes only.