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NPI Code Detail

MEDICARE: MM & G BEHAVIOR SERVICES

MEDICARE: MM & G BEHAVIOR 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 : 1215348495
Entity Type Code : Organization
Provider Name (Legal Business Name) : MM & G BEHAVIOR SERVICES
Provider Business Mailing Address
First Line : 626 S 9TH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-7013
Country : US
Telephone Number : 702-773-0423
Fax Number :
Provider Business Practice Location Address
First Line : 626 S 9TH ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-7013
Country : US
Telephone Number : 702-773-0423
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. GARY HUNDLEY
Credential :
Telephone Number : 702-773-0423
Provider Enumeration Date : 05/09/2014
Last Update Date : 05/09/2014

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Directions to “MM & G BEHAVIOR SERVICES ” Practice Location

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