Organization
BLUE ROSE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNISE PORTER (OWNER)
(702) 927-5201
Entity
Organization
Contact information
Practice address
1400 E RENO AVE APT 52, LAS VEGAS, NV 89119-1681
(702) 927-5201
Mailing address
1400 E RENO AVE APT 52, LAS VEGAS, NV 89119-1681
(702) 927-5201
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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