Medtrans LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Las Vegas, NV. Organization (NPI-2).
NPI number1083173694
StatusActive
Last updated in NPPESMar 14, 2019
Details
- NPI
- 1083173694
- Entity type
- Organization (NPI-2)
- Legal business name
- Medtrans LLC
- Organization subpart
- No
- Enumeration date
- Mar 14, 2019
- Last updated
- Mar 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
5412 Boulder HwyLas Vegas, NV 89122-6039
Phone 702-291-7121
Mailing address
3312 W Charleston BlvdLas Vegas, NV 89102-1829
Phone 702-410-7825
Authorized official
Frances Malinis
Credentialing Specialist
7024107825
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