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NPI Code Detail

MEDICARE: NORTH LAS VEGAS BEHAVIORAL HEALTH

MEDICARE: NORTH LAS VEGAS 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
1324500000XSubstance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538650577
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH LAS VEGAS BEHAVIORAL HEALTH
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 : 702-586-5999
Fax Number :
Provider Business Practice Location Address
First Line : 3131 W CRAIG RD STE 180
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0861
Country : US
Telephone Number : 702-586-5999
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KIRK A WAN
Credential :
Telephone Number : 702-586-5999
Provider Enumeration Date : 05/25/2018
Last Update Date : 05/25/2018

Similar Medicare Providers

1992152359 — MS. RACHEL JOHNSON MSW, LCSW
Practice Location Address:
3131 W CRAIG RD STE 180
NORTH LAS VEGAS, NV
89032-0861
Practice Phone: 702-586-5999
Practice Fax: 702-586-5991
1023595907 — SABRINA MARIE SUGDEN
Practice Location Address:
3131 W CRAIG RD STE 180
NORTH LAS VEGAS, NV
89032-0861
Practice Phone: 702-586-5999
Practice Fax:
1497232284 — BRIANA NICOLE IANNAZZO DCS, BST
Practice Location Address:
3131 W CRAIG RD STE 180
NORTH LAS VEGAS, NV
89032-0861
Practice Phone: 702-586-5999
Practice Fax: 702-586-5991
1972081263 — MS. NICOLE ULMER
Practice Location Address:
3131 W CRAIG RD STE 180
NORTH LAS VEGAS, NV
89032-0861
Practice Phone: 702-586-5999
Practice Fax: 702-586-5991
1336721612 — STEPHEN LEDESMA LANGUB LPN
Practice Location Address:
3131 W CRAIG RD STE 180
NORTH LAS VEGAS, NV
89032-0861
Practice Phone: 702-586-5999
Practice Fax:
1073281325 — CECILIA RODRIGUEZ-VERDIN
Practice Location Address:
3131 W CRAIG RD STE 180
NORTH LAS VEGAS, NV
89032-0861
Practice Phone: 702-586-5999
Practice Fax: 702-586-5991

Directions to “NORTH LAS VEGAS BEHAVIORAL HEALTH ” Practice Location

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