STEPHAN MELANCON
Community Based Residential Treatment Facility, Mental Illness
Active
Individual
NPI: 1740497106
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | - |
Frequently Asked Questions
NPI 1740497106 is the National Provider Identifier for STEPHAN MELANCON, a Community Based Residential Treatment Facility, Mental Illness provider located in Las Vegas, NV. This NPI was enumerated on May 16, 2007.
STEPHAN MELANCON practices at 4000 E CHARLESTON BLVD, SUITE B-230, Las Vegas, NV 89104.
Quick Facts
- NPI
- 1740497106
- Type
- Individual
- Enumerated
- May 16, 2007
- Last Updated
- Jul 8, 2007
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