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NPI Code Detail

MEDICARE: RENEWED MIND BEHAVIORAL HEALTH SERVICES

MEDICARE: RENEWED MIND BEHAVIORAL HEALTH SERVICES
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 : 1932573193
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEWED MIND BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 117 ROSA ROSALES CT
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89031
Country : US
Telephone Number : 702-772-3663
Fax Number :
Provider Business Practice Location Address
First Line : 117 ROSA ROSALES CT
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89031-2593
Country : US
Telephone Number : 702-772-3663
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : FAVOR CHIKELU
Credential :
Telephone Number : 702-772-3663
Provider Enumeration Date : 11/25/2015
Last Update Date : 11/25/2015

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Directions to “RENEWED MIND BEHAVIORAL HEALTH SERVICES ” 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.