MEDICARE: DAY AND NIGHT BEHAVIORAL

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	:	1619426715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAY AND NIGHT BEHAVIORAL

Provider Business Mailing Address
First Line	:	2009 SUMMER LILY AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2686
Country	:	US
Telephone Number	:	702-964-8933
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 SUMMER LILY AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-2686
Country	:	US
Telephone Number	:	702-964-8933
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANY WRIGHT
Credential	:
Telephone Number	:	702-964-8933

Provider Enumeration Date	:	09/30/2016
Last Update Date	:	09/30/2016

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Directions to “DAY AND NIGHT BEHAVIORAL ” Practice Location

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