| Kingdom Behavioral Health, Inc | |
|
4085 N Rancho Dr Ste 120 Las Vegas NV 89130-3467 | |
| (702) 349-8258 | |
| (702) 543-3124 |
| Full Name | Kingdom Behavioral Health, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4085 N Rancho Dr Ste 120, Las Vegas, Nevada |
| Authorized Official Name and Position | Willie Edward Johnson (DIRECTOR) |
| Authorized Official Contact | 7023498258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Behavioral Health, Inc 4085 N Rancho Dr Ste 120 Las Vegas NV 89130-3467 Ph: (702) 836-1905 | Kingdom Behavioral Health, Inc 4085 N Rancho Dr Ste 120 Las Vegas NV 89130-3467 Ph: (702) 349-8258 |
| NPI Number | 1114259355 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 03/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114259355 | NPI | - | NPPES |
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