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BROOKS FAMILY CLINIC LLC NPI 1912431115


NPI Information

NPI: 1912431115
Provider Name: BROOKS FAMILY CLINIC LLC

Doing Business As: BROOKS ADDICTION & COUNSELING MEDICAL CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3550 W CHEYENNE AVE
SUITE 100-A
N LAS VEGAS, NV
ZIP 89032
Phone: (702) 570-5200
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BROOKS FAMILY CLINIC LLC is a substance abuse rehabilitation facility in N Las Vegas, NV. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BROOKS FAMILY CLINIC LLC NPI is 1912431115. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brooks Addiction & Counseling Medical Center.

The provider's business location address is:

3550 W CHEYENNE AVE
SUITE 100-A
N LAS VEGAS, NV
ZIP 89032-212
Phone: (702) 570-5200
Fax: (702) 570-5201

The provider's authorized official is Devin Brooks .
The authorized official title is Ceo and has the following contact phone number (702) 570-5200.

The enumeration date for this NPI number is 4/13/2017 and was last updated on 6/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)6983NEVADANo
2207QA0401XFamily MedicineAddiction Medicine9037NEVADANo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
4324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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