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NPI 1740721505

NPI 1740721505 : 2ND HELPINGS BEHAVIORAL HEALTH SERVICES : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1740721505
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    Entity Type          |    Organization 
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    Legal Business Name  |    2ND HELPINGS BEHAVIORAL HEALTH SERVICES 
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Dates
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    Enumeration Date     |    03/13/2017
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    Last Update Date     |    03/13/2017
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Provider Practice Location Address
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    Address Line         |    187 RUIDOSO LN 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89074-1003
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    Country              |    US
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    Telephone            |    702-712-7689
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    187 RUIDOSO LN 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89074-1003
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    Country              |    US
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    Telephone            |    702-712-7689
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     PORSCHETT  WARD 
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    Credential           |    
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    Telephone            |    702-712-7689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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