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NPI Code Detail

MEDICARE: ACE'S BEHAVIORAL HEALTH SERVICE

MEDICARE: ACE'S BEHAVIORAL HEALTH SERVICE
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
2251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1902227069
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE'S BEHAVIORAL HEALTH SERVICE
Provider Business Mailing Address
First Line : 5708 ARROW TREE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7277
Country : US
Telephone Number : 702-577-6266
Fax Number :
Provider Business Practice Location Address
First Line : 5708 ARROW TREE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7277
Country : US
Telephone Number : 702-577-6266
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : WILLIE HENRY
Credential :
Telephone Number : 702-577-6866
Provider Enumeration Date : 12/17/2013
Last Update Date : 12/17/2013

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Directions to “ACE'S BEHAVIORAL HEALTH SERVICE ” Practice Location

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