| Noholdingbackbehaviorhealth | |
|
1072 W Bartlett Ave Las Vegas NV 89106-2218 | |
| (702) 469-8438 | |
| Not Available |
| Full Name | Noholdingbackbehaviorhealth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1072 W Bartlett Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Maria Moore (PRESIDENT) |
| Authorized Official Contact | 7024698438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noholdingbackbehaviorhealth 1072 W Bartlett Ave Las Vegas NV 89106-2218 Ph: (702) 469-8438 | Noholdingbackbehaviorhealth 1072 W Bartlett Ave Las Vegas NV 89106-2218 Ph: (702) 469-8438 |
| NPI Number | 1699306779 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 02/04/2020 |
| Certification Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699306779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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