MEDICARE: PEOPLES BEHAVIOR CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency		NV

General Provider Information

NPI Number	:	1144561101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLES BEHAVIOR CARE

Provider Business Mailing Address
First Line	:	1121 W ADAMS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2946
Country	:	US
Telephone Number	:	702-834-0868
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 W ADAMS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2946
Country	:	US
Telephone Number	:	702-834-0868
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIROL SPECIALIST
Name	:	RICKEY L PEOPLE
Credential	:
Telephone Number	:	702-834-0868

Provider Enumeration Date	:	03/14/2013
Last Update Date	:	07/21/2022

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Directions to “PEOPLES BEHAVIOR CARE ” Practice Location

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