Stepping Out On Faith Bh | |
5901 N Grand Canyon Dr Las Vegas NV 89149-1405 | |
(702) 542-0407 | |
Not Available |
Full Name | Stepping Out On Faith Bh |
---|---|
Speciality | Community/behavioral Health |
Location | 5901 N Grand Canyon Dr, Las Vegas, Nevada |
Authorized Official Name and Position | Mary A Bey-anderson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7022780340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stepping Out On Faith Bh 4710 Luxor Way Apt 2219 Las Vegas NV 89115-3023 Ph: (702) 278-0340 | Stepping Out On Faith Bh 5901 N Grand Canyon Dr Las Vegas NV 89149-1405 Ph: (702) 542-0407 |
NPI Number | 1447736012 |
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Provider Enumeration Date | 07/17/2018 |
Last Update Date | 07/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447736012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 82-3082387 (Nevada) | Primary |
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