Stephan Melancon
Stephan Melancon is a Mental Illness Community Based Residential Treatment Facility in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4000 E Charleston Blvd Ste B-230Las Vegas, NV 89104-6659
Phone: (702) 968-5000
Fax: (702) 968-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1740497106 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2007 |
| Last updated in NPPES | July 8, 2007 |
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