Active NPI
Rehab Alcohol Drug Detox, Inc.
- Substance Abuse Rehabilitation Facility
- Las Vegas, NV
National Provider Identifier
1831515212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- REHAB ALCOHOL DRUG DETOX, INC.
- Practice address
- 2975 S Rainbow Blvd Ste E
Las Vegas, NV 89146-6242 - Phone
- (702) 228-8520
- Fax
- (702) 448-7205
- NPI assigned
- Mar 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Marlon, MBA
- Title
- President
- Phone
- (702) 228-8520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2975 S Rainbow Blvd Ste E
Las Vegas, NV 89146-6242
Mailing address
9811 W Charleston Blvd # 2626
Las Vegas, NV 89117-7528
Phone (702) 228-8520
National Provider Directory
National Provider DirectoryLocations
9811 W Charleston Blvd
#2626
Las Vegas, NV 89117
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
- NPI 1417351990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394409600000",
"number": "1831515212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 W CHARLESTON BLVD # 2626",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177528",
"telephone_number": "702-228-8520",
"fax_number": "702-448-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 S RAINBOW BLVD STE E",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466242",
"telephone_number": "702-228-8520",
"fax_number": "702-448-7205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB ALCOHOL DRUG DETOX, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-10",
"last_updated": "2014-03-10",
"status": "A",
"authorized_official_last_name": "MARLON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-228-8520",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.