Organization · Type 2 NPI

Nevada Family Practice Residency Program, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Las Vegas, NV

NPI number 1366477036 Active

Practice location

4000 E Charleston Blvd, Suite 230
Las Vegas, NV 89104-6659

Call (702) 968-5059 Map

Fax (702) 968-4041

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1366477036

Nevada Family Practice Residency Program, Inc.'s National Provider Identifier is 1366477036, issued on Jul 11, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 17, 2008.