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NPI Code Detail

MEDICARE: NLVBH CRISIS STABILIZATION CENTER LLC.

MEDICARE: NLVBH CRISIS STABILIZATION CENTER LLC.
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 : 1023785425
Entity Type Code : Organization
Provider Name (Legal Business Name) : NLVBH CRISIS STABILIZATION CENTER LLC.
Provider Business Mailing Address
First Line : 3131 W CRAIG RD STE 180
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0861
Country : US
Telephone Number : 702-469-7897
Fax Number :
Provider Business Practice Location Address
First Line : 3277 W CRAIG RD STE 100-130
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0792
Country : US
Telephone Number : 702-586-5999
Fax Number : 702-586-5991
Authorized Official
Title or Position : CEO
Name : KIRK WAN
Credential :
Telephone Number : 702-469-7897
Provider Enumeration Date : 08/24/2021
Last Update Date : 08/24/2021

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Directions to “NLVBH CRISIS STABILIZATION CENTER LLC. ” Practice Location

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