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NPI Code Detail

MEDICARE: TRIPLE C BEHAVIOR HEALTH

MEDICARE: TRIPLE C BEHAVIOR HEALTH
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1518345750
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIPLE C BEHAVIOR HEALTH
Provider Business Mailing Address
First Line : 1745 N NELLIS BLVD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3673
Country : US
Telephone Number : 702-459-7500
Fax Number :
Provider Business Practice Location Address
First Line : 1745 N NELLIS BLVD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3673
Country : US
Telephone Number : 702-459-7500
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. CHUKA HUMPHREY
Credential :
Telephone Number : 702-459-7500
Provider Enumeration Date : 05/08/2015
Last Update Date : 05/08/2015

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Directions to “TRIPLE C BEHAVIOR HEALTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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