| Southern Nevada Behavioral Health Authority Llc | |
|
1125 Coral Isle Way Las Vegas NV 89108-1766 | |
| (702) 419-1262 | |
| Not Available |
| Full Name | Southern Nevada Behavioral Health Authority Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1125 Coral Isle Way, Las Vegas, Nevada |
| Authorized Official Name and Position | Mitriece Amelia Sumbry (OWNER) |
| Authorized Official Contact | 7024191262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Nevada Behavioral Health Authority Llc 1125 Coral Isle Way Las Vegas NV 89108-1766 Ph: (702) 419-1262 | Southern Nevada Behavioral Health Authority Llc 1125 Coral Isle Way Las Vegas NV 89108-1766 Ph: (702) 419-1262 |
| NPI Number | 1104221795 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104221795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C201410130539 (Nevada) | Primary |
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