| Manor Behavioral Services | |
|
7142 Wilderness Pack Ct N Las Vegas NV 89084-5214 | |
| (702) 286-7223 | |
| Not Available |
| Full Name | Manor Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7142 Wilderness Pack Ct, N Las Vegas, Nevada |
| Authorized Official Name and Position | Savonta Manor (DIRECTOR) |
| Authorized Official Contact | 7022867223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manor Behavioral Services 7142 Wilderness Pack Ct N Las Vegas NV 89084-5214 Ph: (702) 286-7223 | Manor Behavioral Services 7142 Wilderness Pack Ct N Las Vegas NV 89084-5214 Ph: (702) 286-7223 |
| NPI Number | 1952819112 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952819112 | NPI | - | NPPES |
| NV20181048938 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20181048938 (Nevada) | Primary |
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