MEDICARE: RBM 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1922769876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RBM BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	1087 CORONADO PEAK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-4696
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1087 CORONADO PEAK AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-4696
Country	:	US
Telephone Number	:	702-201-4705
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHERIE THOMAS
Credential	:
Telephone Number	:	702-201-4705

Provider Enumeration Date	:	01/04/2022
Last Update Date	:	01/04/2022

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