Serenity Community Care And Behavioral Health | |
2039 E Lake Mead Blvd North Las Vegas NV 89030-7135 | |
(702) 724-9300 | |
Not Available |
Full Name | Serenity Community Care And Behavioral Health |
---|---|
Speciality | Community/behavioral Health |
Location | 2039 E Lake Mead Blvd, North Las Vegas, Nevada |
Authorized Official Name and Position | Eugene Ahmad Wallace (OWNER) |
Authorized Official Contact | 7023262529 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serenity Community Care And Behavioral Health 2039 E Lake Mead Blvd North Las Vegas NV 89030-7135 Ph: (702) 724-9300 | Serenity Community Care And Behavioral Health 2039 E Lake Mead Blvd North Las Vegas NV 89030-7135 Ph: (702) 724-9300 |
NPI Number | 1063794626 |
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Provider Enumeration Date | 09/09/2011 |
Last Update Date | 01/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063794626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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