Whalio Doctors

NPI 1245676410

Family and Child Treatment (fact)

Organisation Voluntary or Charitable Agency Las Vegas, NV

Practice location

Address
6431 W Sahara Ave STE 200, Las Vegas, NV 89146-3064
Phone
(702) 258-5855
Fax
(702) 258-9767

Authorised official

Name
Shawnette Roque
Title
Substance Abuse Counselor
Phone
(702) 258-5855

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence NV19841011323 (NV)

Registry record

NPI
1245676410
Entity type
Organization
NPI issued
15 May 2013
Record last updated
15 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.