MEDICARE: APOSTOLIC BEHAVIORAL 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1083048334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOSTOLIC BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	6212 W CHARLESTON BLVD
Second Line	:	SUITE 202
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1163
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6212 W CHARLESTON BLVD
Second Line	:	SUITE 202
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1163
Country	:	US
Telephone Number	:	702-712-5902
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CAROL KIRBY
Credential	:
Telephone Number	:	702-619-3919

Provider Enumeration Date	:	08/22/2013
Last Update Date	:	08/22/2013

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Directions to “APOSTOLIC BEHAVIORAL HEALTH ” Practice Location

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