| Changing Destiny Behavioral Health | |
|
784 Vortex Ave Henderson NV 89002-6545 | |
| (702) 234-3141 | |
| Not Available |
| Full Name | Changing Destiny Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 784 Vortex Ave, Henderson, Nevada |
| Authorized Official Name and Position | Tamiko L Purdie (DIRECTOR) |
| Authorized Official Contact | 7022343141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Destiny Behavioral Health Po Box 91693 Henderson NV 89009-1693 Ph: () - | Changing Destiny Behavioral Health 784 Vortex Ave Henderson NV 89002-6545 Ph: (702) 234-3141 |
| NPI Number | 1912262676 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 07/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912262676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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