STEPHAN MELANCON

LAS VEGAS, NV
NPI1740497106
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2007-05-16
Last Update Date2007-07-08
Business Address
-- STEPHAN MELANCON
4000 E CHARLESTON BLVD SUITE B-230
LAS VEGAS, NV 89104-6659
Phone number: 702-968-5000
Mailing Address
-- STEPHAN MELANCON
1255 S 8TH ST
LAS VEGAS, NV 89104-1546
Phone number: 702-672-1425
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