Organization · Type 2 NPI
Clean Shot Living
Substance Use Disorder Rehabilitation Clinic/Center · Las Vegas, NV
NPI number
1407663115
Active
Practice location
1813 Betty Ln
Las Vegas, NV 89156-6728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1407663115
Clean Shot Living's National Provider Identifier is 1407663115, issued on Dec 16, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 16, 2024.