Gallus Detox Las Vegas PLLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GALLUS DETOX LAS VEGAS PLLC

Practice address

1550 W Craig Rd Ste 310
North Las Vegas, NV 89032-0327

Phone

(928) 533-0872

Fax

(866) 565-8393

NPI assigned

Sep 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Georgina Carroll, RN

Title

Director of Clinical Operations

Phone

(928) 533-0872

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1740959097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093134",
            "telephone_number": "928-533-0872",
            "fax_number": "866-565-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W CRAIG RD STE 310",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320327",
            "telephone_number": "928-533-0872",
            "fax_number": "866-565-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUS DETOX LAS VEGAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "928-533-0872",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Gallant
• Bryan Aruel Gallardo Linares
• Evelyn Manasala Gallardo
• Peter L. Gallarello, DPM
• Catherine Gallogly, DPT
• Bianka Galvan
• Lilibeth Galvez Lgo
• Susan Galvin, M.D.
• Valeria Gamache
• Donna M Gamble

• Substance Abuse Rehabilitation Facility in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Substance Abuse Rehabilitation Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.