Asap Behavioral Support Services | |
3150 W Sahara Ave B 21 Las Vegas NV 89102-6002 | |
(602) 358-4586 | |
Not Available |
Full Name | Asap Behavioral Support Services |
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Speciality | Community/behavioral Health |
Location | 3150 W Sahara Ave, Las Vegas, Nevada |
Authorized Official Name and Position | Michael Brunson (OWNER) |
Authorized Official Contact | 6023584586 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Asap Behavioral Support Services Po Box 30635 Las Vegas NV 89173-0635 Ph: (602) 358-4586 | Asap Behavioral Support Services 3150 W Sahara Ave B 21 Las Vegas NV 89102-6002 Ph: (602) 358-4586 |
NPI Number | 1053761197 |
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Provider Enumeration Date | 06/20/2016 |
Last Update Date | 06/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053761197 | NPI | - | NPPES |
1588001937 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1588001937 (Nevada) | Primary |
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