| Icarus Behavioral Health Nevada | |
|
375 N Stephanie St Ste 110 Henderson NV 89014-8771 | |
| (702) 723-4774 | |
| Not Available |
| Full Name | Icarus Behavioral Health Nevada |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 375 N Stephanie St Ste 110, Henderson, Nevada |
| Authorized Official Name and Position | Paul Covelli (OWNER) |
| Authorized Official Contact | 7196517584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icarus Behavioral Health Nevada 20682 E Sunrise Ct Queen Creek AZ 85142-3374 Ph: () - | Icarus Behavioral Health Nevada 375 N Stephanie St Ste 110 Henderson NV 89014-8771 Ph: (702) 723-4774 |
| NPI Number | 1316779465 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316779465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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