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NPI Code Detail

MEDICARE: ACHIEVEMENT BEHAVIORAL HEALTH LLC

MEDICARE: ACHIEVEMENT BEHAVIORAL HEALTH 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 AgencyC201010081609NV

General Provider Information

NPI Number : 1760764989
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACHIEVEMENT BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 6330 LITTLE CANYON ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2011
Country : US
Telephone Number : 702-287-0948
Fax Number :
Provider Business Practice Location Address
First Line : 6330 LITTLE CANYON ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2011
Country : US
Telephone Number : 702-287-0948
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOANN LUJAN
Credential : LCSW
Telephone Number : 702-287-0948
Provider Enumeration Date : 09/14/2011
Last Update Date : 09/14/2011

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Directions to “ACHIEVEMENT BEHAVIORAL HEALTH LLC ” Practice Location

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