MEDICARE: DELIGHT 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
1	251S00000X	Community/Behavioral Health Agency		NV

General Provider Information

NPI Number	:	1457842171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELIGHT BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	1212 W BARTLETT AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2222
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 W BARTLETT AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2222
Country	:	US
Telephone Number	:	702-504-9694
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROCHELLE POSEY
Credential	:
Telephone Number	:	702-504-9694

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	05/29/2018

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