MEDICARE: SAFE ARMS BHS

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

General Provider Information

NPI Number	:	1336641075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE ARMS BHS

Provider Business Mailing Address
First Line	:	4023 BENEVOLENT DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-6167
Country	:	US
Telephone Number	:	702-472-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	4023 BENEVOLENT DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-6167
Country	:	US
Telephone Number	:	702-472-1320
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. LAVONA LEWIS
Credential	:
Telephone Number	:	702-472-1598

Provider Enumeration Date	:	03/07/2018
Last Update Date	:	03/07/2018

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Directions to “SAFE ARMS BHS ” Practice Location

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